tci Medicare Compliance & Reimbursement - 2016 Issue 10

Compliance: Know When the 60-Day Clock Starts Ticking

You’re responsible for determining whether you’ve received overpayments, says CMS. If you’ve been struggling to understand when the 60-day time period begins for returning an overpayment according to Medicare’s proposed 60-day rule; there’s help in the final rule. Rule of thumb: Under the Affordable Care Act, a provider must report and return an overpayment by the later of: The date which is 60 days after the date on which the overpayment was identified; or The date any corresponding cost report is due, if applicable. “The final rule makes clear that the 60-day clock...

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