Tuesday, October 19, 2016 12:00 p.m. ET

On February 12, the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register its final overpayment refund rule. The final rule implements a mandate of the Affordable Care Act (ACA) requiring providers and suppliers to report and return Medicare overpayments by no later than 60 days after the date on which the overpayment was “identified.” This webinar will discuss the statutory requirements of overpayments under the ACA, followed by specific enforcement examples. We will pay particular attention to how government audits/reports may serve as “credible information” and the role statistical sampling/extrapolation will play in meeting a provider’s “reasonable diligence” obligation.

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