article thumbnail

CMS Proposes to Amend Overpayment Rule, Remove Potential Overpayment and False Claims Act Liability for Mere Negligence

Healthcare Law Blog

The Centers for Medicare and Medicaid Services (“CMS”) has issued a proposed rule which would amend the existing regulations for reporting and returning identified overpayments (the “Proposed Rule”). UnitedHealthcare challenged the current Overpayment Rule in litigation. [1] UnitedHealthcare Litigation. The Proposed Rule.

article thumbnail

CMS Proposes to Drastically Change Overpayment Refund Rule

Hall Render

On December 27, 2022, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule that could potentially have a significant impact on enrollees’ obligations under the “60-day” overpayment rule. In fact, claims reviews to quantify an overpayment is a time-consuming effort and the six-month period is necessary.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Discover what’s new for CMS Program Audit ODAG Protocol in 2022

Innovaare Compliance

The Centers for Medicare & Medicaid Services (CMS) launched a new cycle of CMS program audits in February 2022. Even though we’re six weeks from the end of the 2022 cycle, there’s still time to review the new and changed features of the CMS audit protocol (CMS 10717) for CY 2022. 2022 CMS Program Audit ODAG Table Changes .

article thumbnail

2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

79452 (2022)). Notable Omissions from Proposed Rule CMS declined to adopt previously proposed amendments to the standard for “identified overpayments” under Medicare Parts A, B, C, and D. Any overpayment retained by a person after the deadline for reporting and returning an overpayment is an obligation under the FCA.

article thumbnail

2023 Non-Monetary Compensation to Physicians (and Chance to Review 2022)

Hall Render

The $5,000 limit is adjusted annually for inflation and will increase from the 2022 limit of $5,270 to $5,702 beginning January 1, 2023 for the 2023 calendar year. Hall Render blog posts and articles are intended for informational purposes only. COVID-19 Blanket Stark Waivers Continue (for now). Your regular Hall Render attorney.

article thumbnail

Attention New York Medicaid Providers: It’s Time to Upgrade Your Compliance Program

Healthcare Law Blog

1] Although the regulations were adopted on December 28, 2022, and became effective immediately, OMIG announced in the Compliance Program Guidance that required providers will have until March 28, 2023 , to adopt and implement the necessary changes to their compliance programs.

article thumbnail

Weekly Health Care Real Estate Briefing: Hospital Bond Issues Down 57% | CMS Increases Payments to SNFs | New Podcast on Timeshare Arrangements | MN Hospital Deploys 24 Robots

Hall Render

In its latest capital markets update, H2C noted that July nonprofit hospital bond issuance was down 57% year-over-year and down 52% year-to-date (compared to January through June 2022). million in local property taxes for its facility, but the lawsuit argues for a full refund of 2022 taxes and to declare the property tax-exempt.