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Will CMS’s Proposed Rule on “Identified Overpayments” Increase Reverse FCA Cases?

Healthcare Law Today

JANUARY 2, 2023

” The currently proposed provision has similar effect to the language CMS proposed in 2012 and, after consideration of comments, ultimately rejected in the 2014 Final Rule (Medicare Advantage and Part D) and 2016 Final Rule (Medicare Part A and Part B). The FCA is a fraud statute, requiring intent. 3729(b)(1)(A).

Overpayments

Overpayments Overpayment ACA Medicare

Wasted: $1 of Every $4 Spent on Health Care In America

Health Populi

OCTOBER 8, 2019

The study reviewed reports and articles published between January 1, 2012 and May 15, 2019, dressing the topic of waste across six domains previously identified by the Institute of Medicine: Failure of care delivery, with waste ranging between $102 bn and $166 bn. Failure of care coordination, with a waste-range of $27 bn – $78 bn.

Prescription Drug Pricing

Prescription Drug Pricing Medicare Medicare ACA

Will CMS’s Proposed Rule on “Identified Overpayments” Increase Reverse FCA Cases?

Wasted: $1 of Every $4 Spent on Health Care In America

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