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welcome to this tutorial on recruitment demand letters we will cover demand letters and what is expected from the provider this letter is used to communicate when an overpayment exists and an accounts receivable or AR has been created it means there is money owed to Medicare the information given in this training is correct as of July 2020 the most current information related to this topic can be found on the nuridium and CMS websites at the links listed on this slide overpayments are generated due to several reasons such as a correction made in the Medicare processing system or a review conducted by Medical Review or a third party determines there was an air in payment when Medicare has determined there is an overpayment an accounts receivable or AR will be established and a demand letter will be issued the demand letter includes detailed information necessary to satisfy the overpayment and information on how to submit an appeal if there is a dissatisfaction with the original claim de