Healthcare Law Blog
DECEMBER 27, 2022
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.
Fierce Healthcare
NOVEMBER 7, 2022
Payers recover overpayments 50% faster with enterprise technology: study. Mon, 11/07/2022 - 12:43.
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HIT Consultant
APRIL 7, 2025
billion in 2022 and is projected to hit $308.18 Doctors deliver care with no guarantee of compensation, while insurers and middlemen profit without taking on any risk. The True Cost of Healthcare People say the U.S. has the most expensive healthcare system in the worldbut few ask why. If doctors arent getting the money, where is it going?
Health Care Law Brief
JUNE 26, 2022
With this denial, the Overpayment Rule remains in full force and effect, and UnitedHealthcare, among other MA plans, must comply or potentially face False Claims Act (FCA) liability. The Overpayment Rule. The Overpayment Rule, set forth at 42 U.S.C. 29844, 29921 (May 23, 2014). See UnitedHealthcare Insurance Co. 3d 173 (Sep.
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.
Hall Render
JANUARY 12, 2023
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.
Healthicity
APRIL 12, 2022
The OIG’s Annual Workplan for 2022 includes the continuous auditing and monitoring of items and services.
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