Compliance: Take a Closer Look at 3 Other 60-Day Rule Provisions
You’re still subject to the rule, even if the overpayment wasn’t your fault.
The Centers for Medicare & Medicaid Services (CMS) isn’t giving you much leeway when it comes to the 60-day overpayment rule. In fact, CMS confirmed in the final rule its staunch position on the 60-day rule’s repayment requirements, regardless of how or why the overpayment occurred.
1. Third-Party Anti-Kickback Violations: In the rule’s preamble, CMS affirmed its position that compliance with the Anti-Kickback Statute is a condition of payment and, therefore, you could have a repayment obligation arising from a third...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: