Home Health & Hospice Week

Industry Note:

Medicare Wants Overpayments Back Within 2 Months

You'll have 60 days to report and return self-identified Medicare overpayments, if a new Centers for Medicare & Medicaid Services proposed rule becomes final. "Before the Affordable Care Act, providers did not face an explicit deadline for returning taxpayers' money," CMS notes in a release. "Thanks to the Affordable Care Act, there will be a specific timeframe by which overpayments must be reported returned." If finalized, providers could face big financial penalties if they fail to follow the rule. "Any failure to report and return the overpayment within the applicable time frame could be a violation of the False Claims Act," CMS says. Or they could face worse. "Providers also could be ... excluded from participating in federal healthcare programs for failure to report and return an overpayment," CMS says. What qualifies? "A Medicare overpayment means any funds that a person receives or retains under Medicare to which the person [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All