CMS 60-Day Rule: Reporting and Refunding Overpayments for Providers and Suppliers One Year Later

Recording of a 90-minute CLE webinar with Q&A


Conducted on Wednesday, April 5, 2017
Recorded event now available


This CLE webinar will provide counsel for healthcare providers and suppliers with experiences and perspectives on complying with the Center for Medicare and Medicaid Services’ (CMS) rule on reporting and returning Medicare overpayments.

Description

In 2016, the CMS issued its long-awaited final rule on the mandatory report and return overpayments rule, known as “the 60-day rule.” Medicare and Medicaid providers, suppliers and managed care contractors are to report and return an overpayment within 60 days of their identification. Retention of an identified overpayment beyond that 60-day period risks liability under the False Claims Act.

Under the rule, the clock starts when a provider has identified an overpayment, which is defined as “when the person has, or should have through the exercise of reasonable diligence, determined that the person has received an overpayment and quantified the amount of the overpayment. A person should have determined that the person received an overpayment and quantified the amount of the overpayment if the person fails to exercise reasonable diligence and the person in fact received an overpayment.”

Counsel to healthcare providers and suppliers must understand the rule, advise on implementing policies and procedures for reporting and refunding identified overpayments, and implement audit approaches.

Listen as our authoritative panel of healthcare attorneys examines the CMS rule—including its impact on Medicaid—and offers practical steps for providers and suppliers to take in response to the final rule.

Outline

  1. CMS’ final rule
    1. Identification of overpayments
    2. Refund processes
    3. Six-year lookback
  2. Strategies for providers and supplies

Benefits

The panel will review these and other key issues:

  • When is an overpayment identified and what constitutes reasonable diligence?
  • What policies and procedures should providers and suppliers implement to ensure compliance with the final rule?

Faculty

Jana Kolarik Anderson, Partner
Foley & Lardner, Jacksonville, Fla.

Ms. Anderson focuses on health law issues, including federal and state fraud issues such as anti-kickback, self-referral and regulatory compliance; enrollment, accreditation and licensure; and health regulatory requirements and risks related to acquisitions/sales of health care entities. She advises clients regarding Medicare and Medicaid enrollment, coverage and payment issues.

Jill S. Wright, Special Counsel
Foley & Lardner, Washington, D.C.

Ms. Wright’s practice focuses on healthcare fraud and abuse and compliance issues, including the federal Anti-Kickback and Physician Self-Referral/Stark laws, civil monetary penalties law, false claims and overpayments, government investigations, and exclusions from federal health. care programs. Ms. Wright is a former senior counsel for the U.S. DHHS Office of the Inspector General where she pursued cases involving civil monetary penalties and the False Claims Act.


Recordings

CLE On-Demand - Streaming Video

Includes recorded streaming video of full program plus PDF handouts.

On-demand is the only recorded format recognized for CLE credits in DE, IN, KS, LA, MS, NC, OH, OK, SC, TN, VA, WI.

AK, AZ, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN*, KS, KY, LA, ME, MN, MO, MT, NC, ND, NH**, NJ, NM, NV, NY, OH*, OK, OR, PA, SC, TN, TX, UT, VA, VT, WA, WI, WV, WY (Note: Some states restrict CLE eligibility based on the age of a program. Refer to our state CLE Map for additional information.)

*Only available for attorneys admitted for more than two years. For OH CLE credits, only programs recorded within the current calendar year are eligible - contact the CLE department for verification.

**NH attendees must self-determine if a program is eligible for credit and self-report their attendance.

CLE On-Demand Video $297.00

How does this work?


Recorded Event

Includes full event recording plus handouts.

Strafford is an approved provider and self-study CLE credit is available in most states.

AK, AZ, CA, CO, CT, FL, GA, HI, IA, ID, IL, KY, ME, MN, MO, MT, ND, NJ, NM, NY, OR, PA, TN, TX, UT, VT, WA, WV, WY (Note: Some states restrict CLE eligibility based on the age of a program. Refer to our state CLE Map for additional information.)

Strafford will process CLE credit for one person on each recording.

Additional copies of a recording can be purchased at a discount. Please call Strafford Customer Service toll-free at 1-800-926-7926 ext 10 or email customerservice@straffordpub.com to place your order.

Recorded Webinar Download $297.00

How does this work?

Recorded Audio Download (MP3) $297.00

How does this work?


Webinar

Strafford webinars offer several options for participation: online viewing of speaker-controlled PowerPoint presentations with audio via computer speakers or via phone; or audio only via telephone (download speaker handouts prior to the program).  Please note that our webinars do not feature videos of the presenters.

Program Materials

Requires Adobe Reader 8 or later. Download Acrobat FREE.

Program Materials

Requires Adobe Reader 8 or later. Download Acrobat FREE.

or call 1-800-926-7926

CLE Credits

Many states grant CLE credits for on-demand streaming audio programs and recorded events. Our programs are pre-approved in many states. Refer to our state CLE map for state-specific information.

or call 1-800-926-7926

Customer Reviews

The speakers were well prepared and were able to explain the information in a clear and concise manner.

Ayala Schwartz

Columbia University Clinical Trials Office

Very valuable information.

Mara McDermott

Akin Gump

Very current topic and I appreciated the real life examples.

Lisa Thompson

Adelman Sheff & Smith

Strafford's seminar was excellent and I found the Q&A session especially helpful.

Ben Koplin

Fulbright & Jaworski

The interactive questions at the end added value to the educational topic discussed during the presentation.

Ralph H. Heninger

Heninger & Heninger

or call 1-800-926-7926

Health Law Advisory Board

Lowell C. Brown

Partner

Arent Fox

Jennifer L. Evans

Shareholder

Polsinelli

Ryan S. Johnson

Shareholder

Fredrikson & Byron

Gina M. Kastel

Partner

Faegre Baker Daniels

Karen S. Lovitch

Member

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo

David A. Manko

Partner

Proskauer Rose

John J. Miles

Senior Counsel

Baker Donelson

C. Elizabeth O'Keeffe

Counsel

Wyatt, Tarrant & Combs

J. Peter Rich

Partner

McDermott Will & Emery

Donald H. Romano

Of Counsel

Foley & Lardner

Judith A. Waltz

Partner

Foley & Lardner

John R. Washlick

Shareholder

Buchanan Ingersoll & Rooney

Jesse A. Witten

Partner

Drinker Biddle & Reath

or call 1-800-926-7926

Our Guarantee

Strafford webinars are backed by our 100% Unconditional Money-Back Guarantee: if you are not satisfied with any of our products, simply let us know and get a full refund. For more information regarding complaints and refunds, please contact us at 1-800-926-7926 ext 10. Complaints regarding this program can be submitted via the course evaluation found in the “Thank you” e-mail at the end of the course.