The Centers for Medicare & Medicaid Services on Feb. 14 issued a proposed rule implementing a Patient Protection and Affordable Care Act requirement that health care providers and suppliers report and return self-identified overpayments by the later of 60 days after the date the overpayment was identified, or the date any corresponding cost report is due, if applicable. Retention of the overpayment beyond the deadline may result in False Claims Act liability. Examples of overpayments could include errors and non-reimbursable expenditures in cost reports; Medicare payments for non-covered services or in excess of the allowable amount for a covered service; duplicate payments; and receipt of Medicare payments when another payer had primary responsibility.
The proposed rule will be published in the Feb. 16 Federal Register with comments accepted for 60 days.
[ via AHA News Now ]
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