Healthcare Law Today
JANUARY 2, 2023
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.
Healthcare Law Blog
FEBRUARY 1, 2023
Likewise CMS cited its fiduciary duty to protect taxpayer dollars from overpayments and its fiduciary responsibility to recover funds due to the Medicare Trust Funds. case number 18-5326 , which reinstated CMS’s Overpayment Rule for MA organizations. Becerra et al., 42 C.F.R. §§ 422.326(d), (c).
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Healthcare Law Blog
SEPTEMBER 28, 2023
Refresher on the RADV Final Rule The Final Rule will implement the following changes: CMS will extrapolate RADV audit findings beginning with payment year (“PY”) 2018, and will not extrapolate RADV audit findings for PYs 2011 through 2017, though it will continue to collect the non-extrapolated overpayments that are identified.
The Health Law Firm
JULY 26, 2012
On July 2, 2012 the Officer of Inspector General (OIG) released its Medicare compliance review of West Florida Hospital in Pensacola. However, the overpayments for the years 2009 and 2010 totaled up to $173,000. Indest III, J.D., Board Certified by The Florida Bar in Health Law.
The Health Law Firm
OCTOBER 10, 2012
A Tennessee ambulance company and the US Department of Health and Human Services (DHHS) announced a settlement in a case over a post payment audit for more than two million dollars in May 2012. million overpayment demand, according to the Nashville Business Journal.
YouCompli
NOVEMBER 1, 2023
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).
Kaiser Health News
JUNE 29, 2022
They also called for the Centers for Medicare & Medicaid Services, or CMS, to revive a foundering audit program that is more than a decade behind in recouping billions in suspected overpayments to the health plans, which are run mostly by private insurance companies. CMS is scheduled to release the audits later this year.
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