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Forward(Recorded Webinar) Returning and Reporting Medicare Overpayments: Updates to the CMS 60-Day Rule
In 2016, the Centers for Medicare and Medicaid Services (CMS) established a rule requiring Medicare overpayments to be returned and reported within 60 days of identification. That rule established that an overpayment was identified when the provider, through the exercise of reasonable diligence, determined it had received an overpayment and quantified the amount. The failure to timely report and return an identified overpayment causes the retained overpayment to become a potential violation of the federal False Claims Act.
Effective January 1, 2025, CMS revised that rule such that an overpayment is identified when an entity or individual "knowingly" receives or retains an overpayment by having actual knowledge of the overpayment or acting in deliberate ignorance or reckless disregard of the overpayment. Under the new rule, the 60-day clock to refund the overpayment starts as soon as an overpayment has been identified, regardless of whether it has exercised “reasonable diligence” to confirm the overpayment and quantified the amount.
This webinar will review the changes to the 60-day rule and describe the risks to health centers that fail to return and report overpayments within the time period. In addition, this webinar will explain how the 60-day period can be suspended for 180 days by conducting a timely, good faith investigation to determine the existence of related overpayments that may arise from the same or similar cause as the initially identified overpayment.
Please note: This webinar is offered as a complimentary product to all Health Center Compliance Training Plan subscribers. For more information on our Health Center Compliance Training plan, click here or contact us.
Target Audience
- Executive Leadership
- Compliance Officers
- Risk Managers
- Billing Staff
Learning Objectives
After this webinar, you will be able to:
- Recognize recent changes to the Medicare 60-Day Rule
- Adopt procedures to allow for suspension of the 60-day period
- Establish practical strategies to avoid risk under the False Claims Act
Adam J. Falcone
Adam Falcone is a Partner in the firm's national Health Care practice group, where he counsels a diverse spectrum of community-based organizations that render primary and behavioral health care services. Adam counsels clients on a wide range of health care issues, with a focus on fraud and abuse, reimbursement and payment and antitrust and competition matters. [Full Bio]
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Available Credit
- 1.00 Certificate of Attendance
Price
ACCESS PERIOD
Recorded webinars are available for 180 days after the date of purchase or date of the webinar. Once posted to your account, you can view this webinar anytime on-demand during the access period identified in your purchase confirmation. For additional information on viewing and accessing webinars, view our full terms and conditions here.
PAYMENT POLICY
If you pay by credit card or PayPal, you will be able to access the recorded webinar immediately (unless the live webinar has not yet occurred). If you pay by check, we will grant access to the recording when we receive your check. You will receive a confirmation email once access is granted. Feldesman Training Solutions reserves the right to suspend access to the webinar if payment is not received within 30 days. For more information on payments and registration, please visit our FAQ page.
CANCELLATION POLICY
No refunds will be provided for recorded webinars. Feldesman Training Solutions can transfer a registration to someone else within your organization or, provided you have not already viewed the webinar, transfer the registration to another on-demand program. Where the registration fee for the new webinar is higher, you must also pay the difference between the original course and the new course registration fee at the time of transfer. Administrative fees may also apply. If your organization purchased a webinar under the account of a staff member who no longer works for your organization, please contact us. View our full policy on refunds and cancellations here.
Required Hardware/Software
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