2014, Governance, Medicaid and Overpayment - Health Care Compliance Brief

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2014

Governance

Medicaid

Overpayment

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

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.

Overpayments

Overpayments Overpayment ACA Medicare

Closing Care Gaps Through Prospective Risk Adjustment

HIT Consultant

MARCH 20, 2024

The Centers for Medicare and Medicaid Services (CMS) estimated that for payment year 2018 alone , it will recover $428.4 At the same time, CMS is implementing changes in how its Risk Adjustment Data Validation (RADV) audits are conducted and how their findings lead to overpayment assessments. million (net) and $4.7

Overpayments

Overpayments Overpayment Medicare Medicare

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

Closing Care Gaps Through Prospective Risk Adjustment

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