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SCOTUS rejects UnitedHealth appeal of Medicare Advantage overpayment rule

Healthcare Dive

The justices declined to take up the case, leaving intact a lower court ruling that backed the 2014 CMS regulation requiring swift return of overpayments.

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Feds sue Cigna over alleged Medicare Advantage overpayments linked to home assessments

Fierce Healthcare

Feds sue Cigna over alleged Medicare Advantage overpayments linked to home assessments. Mon, 10/17/2022 - 15:46.

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Understanding Basics of Medicare Overpayment

Medisys Compliance

What is Medicare Overpayment? An overpayment is a payment made to a provider exceeding amounts due and payable according to existing laws and regulations. Identified overpayments are debts owed to the federal government. Laws and regulations require CMS recover overpayments. Medicare Overpayment Collection Process.

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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”). reckless disregard or deliberate ignorance of a potential overpayment). UnitedHealthcare Litigation. The Proposed Rule.

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OIG calls on CMS to do more to collect Medicare overpayments from hospitals

Fierce Healthcare

OIG calls on CMS to do more to collect Medicare overpayments from hospitals. Fri, 10/28/2022 - 15:03.

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The Final Rule: How to Prevent $389,000 in Medicare Overpayments

Healthicity

New York Hospital to Pay $389,000 to Medicare. In a recent audit of a New York hospital, the HHS OIG identified overpayments.

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Retrieving Billions in Overpayments by CMS

Healthcare IT Today

Amid swirling accusations that Medicare Advantage Organizations (MAOs) are overbilling the U.S. government and calls for better oversight , the Centers for Medicare & Medicaid Services announced in early February that it would investigate overbilling by those plans. How can such overpayments be uncovered?