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On February 12, 2016, the Centers for Medicare & Medicaid Services published a final rule that explains the requirements for providers and suppliers reporting and returning overpayments under Medicare Parts A & B.
United StatesFood, Drugs, Healthcare, Life Sciences
with readers working within the Automotive and Insurance industries
On February 12, 2016, the Centers for Medicare & Medicaid
Services ("CMS") published a final rule that explains the
requirements for providers and suppliers reporting and returning
overpayments under Medicare Parts A & B (the "Overpayment
Rule"). Hospitals, physicians, reference laboratories, home
health agencies and anyone receiving funds from Part A or B are
affected by the Overpayment Rule.
Commentary associated with the recent Overpayment Rule confirms
that CMS places a significant burden on providers and suppliers to
identify, report and return any overpayments to Medicare.
Part I of this Client Alert summarizes the key takeaways from
the Overpayment Rule and introduces practical steps that providers
and suppliers may take to comply with the Overpayment Rule.
Part II of this Client Alert provides an action plan that
providers and suppliers may follow when conducting internal audits,
complying with the OIG protocol and responding to payer audits.
The content of this article is intended to provide a general
guide to the subject matter. Specialist advice should be sought
about your specific circumstances.
