Medicare Overpayments: Analyzing the CMS 60-Day Rule
Reporting and Refunding Overpayments for Providers, Suppliers, Drug Plan Sponsors, and Medicaid MCOs
CMS comment period closes April 16
Recording of a 90-minute CLE webinar with Q&A
This CLE course will provide guidance to counsel for healthcare providers, suppliers, drug plan sponsors and Medicaid managed care organizations (MCOs) on the new CMS proposed rules on reporting and returning Medicare overpayments.
- Review of overpayment obligations under ACA
- CMS’ proposed rule
- Identification of overpayments
- Limited applicable reconciliation
- Refund processes
- Ten year lookback and claims reopening periods
- Application/impact on Medicaid
- Strategies for providers and suppliers
The panel will review these and other key questions:
- What are a provider's reporting and refunding of overpayment obligations under the ACA?
- How will the existing voluntary refund process be incorporated into the implementation of the 60-day rule?
- What steps can providers and suppliers take in response to the proposed rule?
Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.
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
James G. Sheehan
Executive Deputy Commissioner and Chief Integrity Officer
Human Resources Administration of New York City
He is responsible for addressing fraud and improper payments involving providers, contractors and recipients, and for... | Read More
He is responsible for addressing fraud and improper payments involving providers, contractors and recipients, and for managing HRA's internal compliance program. He has been a national leader in data mining and analysis of improper payments, and in developing effective compliance programs.Close
Paul A. Deeringer
Hooper Lundy & Bookman
His practice involves healthcare-related business transactions and general corporate representation, including... | Read More
His practice involves healthcare-related business transactions and general corporate representation, including contracts between hospitals and physicians, the purchase and sale of facilities, and general corporate advice. He also advises on regulatory issues, including Medi-Cal reimbursement challenges in the long-term care and durable medical equipment industries.Close