The Health Law Firm
FEBRUARY 27, 2013
Our firm has been consulted recently by owners of different health care entities, including assisted living facilities (ALFs), group homes, home health agencies and even medical groups that had received Medicaid overpayment demands. This resulted in a Medicaid overpayment assessment.
Healthcare IT Today
NOVEMBER 22, 2022
Licensed assistants in all 50 states can see patients—with varying degrees of supervision determined by state. The payer could also recoup the overpayments from future visits. . If overbilling happens with a commercial biller, the clinic could get a letter sent to the licensing board and be put on probation.
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Health Law Blog
MAY 22, 2018
The two individuals owned a licensed substance abuse service provider (or treatment center) offering clinical treatment services for persons suffering from alcohol and drug addiction. Continuing to employ the medical director after the doctor’s license was suspended.
Health Care Law Brief
MAY 11, 2022
Inappropriately paid claims shall constitute overpayments as defined in the Medicaid regulations and may be recovered accordingly from the employer without recoupment from, or penalty to, any covered worker.
AIHC
FEBRUARY 17, 2025
There are also self-reporting mechanisms in place to report overpayments on the OIG website ( Self-Disclosure ) and Self-Referral Disclosure for voluntary self-reporting of overpayments on the Centers for Medicare and Medicaid Services (CMS) website.
Hall Render
DECEMBER 11, 2024
The Proposed Rule would remove the aggravating factors which permit OIG to lengthen periods of exclusion based on the loss of the individual’s or entity’s health care license, and the mitigating factors, which OIG could consider if aggravating factors are applied. In addition, OIG proposes to modify 42 CFR Sec.
AIHC
OCTOBER 23, 2024
Third-party audits may result in certification, registration, recognition, an award, license approval, a citation, a fine, or a penalty issued by the third-party organization or an interested party. Corrective action includes refunding overpayments revealed during the audit. This typically involves conducting Root Cause Analysis.
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