Everything You Need to Know About the New 60-Day Medicare Overpayment Rules
A Webinar Recording Hosted by: PWW Media on March 3, 2016
Presented by: Page, Wolfberg & Wirth, LLC
The so called 60-day overpayment rule, one of the most sweeping fraud and abuse measures affecting the ambulance industry, has finally been clarified through new regulations (sort of). On Feburary 12th, the Centers for Medicare and Medicaid Services (CMS) published a much-anticipated Final Rule establishing very specific guidelines on how all Medicare providers must comply with the ACA's 60-day overpayment rule.
What do the new regulations say? Among other things, they
- Describe when providers "identify" an overpayment (when the 60-day clock begins) - you have time to investigate and "quantify" the overpayment
- Roll back the lookback period from ten years (as originally proposed) to six years, reducing how far ambulance services need to look back for potential overpayments
- Explain how using the OIG's Self-Disclosure Protocol could toll the time for reporting
- Describe when you have a duty to investigate potential overpayments - it could be a single overpayment or hotline complaint!
Compliance with these new regulations is absolutely critical for every Medicare-enrolled ambulance supplier/provider because failing to follow them could trigger significant monetary damages and liability under the Federal False Claims Act. You must know what's in the new regulations before they go into effect on March 14, 2016.
The following questions were answered during this webinar:
- What are the most common overpayments in EMS?
- How do we treat errors by our MAC?
- How can we more easily identify our overpayments?
- How deep do we have to dig when investigating potential overpayments?
- What if the law changes and our claims were submitted under the old guidelines?
- What specific things "trigger" the duty to look for an overpayment?
You'll also receive our essential tips for complying with the new rules!
Upon payment of your purchase, you will receive an email with the link to the recording that can be accessed an unlimited number of times and a link to the handouts.