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.

Overpayments 52

Overpayments Overpayment Medicare Medicare 52

Florida Health Care Law Firm

DECEMBER 2, 2021

The OIG clarified that using the SDP may mitigate potential exposure under Medicare and Medicaid 60-day reporting and returning requirements for overpayments. Any overpayment retained after this period may create liability under the Civil Monetary Penalties Law and the False Claims Act.

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Overpayments Overpayment Fraud Medicare 40

Health Law RX

JANUARY 30, 2024

Healthcare companies should engage experienced regulatory counsel to advise about the nuances of each element as they gauge the impact that regulatory compliance may have on deal terms. Ensure Ongoing Compliance. The GCPG further explains how to implement these elements.

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Compliance Due Diligence Fraud Governance 52