Health Information Management

News: CMS issues final rule for reporting, repaying Medicare overpayment

CDI Strategies, February 18, 2016

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CMS issued a final rule on February 11, 2016, creating a reporting and repayment obligation for providers and suppliers who receive a Medicare overpayment.

The rule requires providers and suppliers to report and return overpayments they identify within six years of receipt. The proposed rule in 2012 suggested a 10-year report and return period.

Once identified, overpayments must be reported and returned within 60 days, or by the date any corresponding cost report is due, if applicable.

CMS says the requirements in the final rule are meant to ensure compliance with applicable statutes, promote high quality care, and protect against fraud and improper payments.

To read the final rule, click here.



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