Navigating Reverse False Claims and Medicare Overpayments Amid Strict Enforcement of the 60-Day Rule
Recording of a 90-minute CLE webinar with Q&A
This CLE course will provide guidance to healthcare counsel on reverse false claims enforcement trends and overpayment requirements. The panel will examine the impact of recent developments, including recent cases and government policies, and offer best practices for navigating reverse false claims.
Outline
- Intro and Overview
- Overpayments and the 60-Day Rule
- Brief background (FERA/ACA)
- Part A&B Proposed Rule
- Part C&D Proposed Rule & Final Rule issued in Spring 2014
- Recent Developments — Reverse False Claims Act Litigation
- Pending Intervened Continuum Case
- Qui Tams and Reverse False Claims
- Best Practices
- Investigations/Audits
- Disclosure options
Benefits
The panel will review these and other key issues:
- What are the recent developments impacting FCA “reverse false claims” enforcement in the healthcare industry?
- What are the implications of the government’s intervention in the reverse false claims case?
- What steps should healthcare counsel and providers take to ensure compliance with the Affordable Care Act’s overpayment requirements?
Faculty
David S. Greenberg
Partner
Arent Fox
Mr. Greenberg advises health care companies, including providers and suppliers, through an exceedingly... | Read More
Mr. Greenberg advises health care companies, including providers and suppliers, through an exceedingly complex and volatile regulatory environment. He focuses his practice on counseling health care clients on regulatory issues related to the Affordable Care Act, the False Claims Act, the Anti-Kickback Act, the Stark Laws, state licensure, self-disclosures, reimbursement and payment, and participation in Medicare, Medicaid, and other government health care programs.
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Adam D. Romney
Partner
Davis Wright Tremaine
Mr. Romney supports health care providers on multiple issues including Medicare and Medicaid reimbursement,... | Read More
Mr. Romney supports health care providers on multiple issues including Medicare and Medicaid reimbursement, regulatory and enrollment matters, government and commercial payor audits and payment disputes, state licensing, developing telemedicine delivery models, health care reform issues including accountable care, and bundled payment. He worked for the Office of the General Counsel at the U.S. Department of Health and Human Services and the Office of Medicare Hearing and Appeals.
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