Final rule explains how providers should carry out timely reporting and returning of Medicare overpayments. In February, the Centers for Medicare & Medicaid Services (CMS) published the long-awaited final rule Medicare Reporting and Returning of Self-identified Overpayments, establishing official policy for timely reporting and returning of Medicare overpayments received by healthcare providers...
Jul 30th, 2014
The Patient Protection and Affordable Care Act of 2010 (ACA) requires healthcare providers to return overpayments to government payers, with an explanation of why the payment is being returned, within 60 days from the time that the provider identifies the overpayment. According to regulation, an “identified” overpayment occurs when “a person has actual knowledge of ...
In Billing
Oct 1st, 2013
Before you self-disclose, be sure to undergo a detailed internal investigation. On April 17, 2013 the U.S. Department of Health & Human Services (HHS) Office of Inspector General (OIG) issued an updated Provider Self-Disclosure Protocol, revising its guidance on how healthcare providers, suppliers, and other individuals or entities can voluntarily identify, report, and resolve instances ...