Medicare and Medicaid Repayments and Disclosures
Meeting Refund and Reporting Obligations to Comply with FERA, FCA and the ACA
Recording of a 90-minute CLE webinar with Q&A
This CLE course will provide guidance for healthcare counsel on the legal obligations, benefits, incentives and risks of reporting and repaying improper Medicare payments. The panel will examine the impact of the Affordable Care Act and CMS’s proposed overpayment rule, and outline practical steps to take in response to these changes.
- Medicare requirements for overpayment
- Benefits, incentives, risk of disclosure
- Rules of the road in investigating and responding to potential overpayments
The panel will review these and other key issues:
- What are the obligations concerning potential overpayments?
- What are the benefits and incentives for refunding and disclosing overpayments? What are the risks?
- When is disclosure to law enforcement warranted? What is the difference between a law enforcement disclosure and a repayment?
- What factors should healthcare providers consider when determining where to make a disclosure?
- What is the government doing to enforce the 60 day rule to refund overpayments?
Robert L. Roth
Hooper Lundy & Bookman
Mr. Roth advises clients on matters arising under Medicare and Medicaid, focusing on payment, compliance, and... | Read More
Mr. Roth advises clients on matters arising under Medicare and Medicaid, focusing on payment, compliance, and licensing issues. He handles matters such as reimbursement, overpayment refunds/disclosure, and coordination of benefits. He previously served in the Office of the General Counsel of the Department of Health and Human Services, assigned to the predecessor agency to the Centers for Medicare & Medicaid Services.Close
Jesse A. Witten
Drinker Biddle & Reath
Mr. Witten counsels on health law issues, including Medicare and Medicaid reimbursement and price reporting... | Read More
Mr. Witten counsels on health law issues, including Medicare and Medicaid reimbursement and price reporting requirements, compliance with Anti-Kickback and Stark laws, and implementation and operation of corporate compliance programs. He previously served as a Deputy Associate Attorney General in the U.S. Department of Justice where his duties included co-chairing the DOJ's Healthcare Fraud Task Force.Close