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

Healthcare Law Today

As written, the proposed rule would remove the existing “reasonable diligence” standard for identification of overpayments, and add the “knowing” and “knowingly” FCA definition. And, a provider is required to refund overpayments it is obliged to refund within 60 days of such identified overpayment.

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Medicare Compliance Review of West Florida Hospital in Pensacola

The Health Law Firm

On July 2, 2012 the Officer of Inspector General (OIG) released its Medicare compliance review of West Florida Hospital in Pensacola. According to the audit, the hospital complied with Medicare billing requirements for the documentation majority of inpatient and outpatient claims. Indest III, J.D.,

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Avoiding “Gotcha” Moments in Compliance 

YouCompli

As a result, the department now has to refund several thousand dollars in overpayments and implement a corrective action plan. From 2012-2016, he served on the Board of a non-profit organization serving the medically underserved in Colorado (ClinicNET).