tci Medicare Compliance & Reimbursement - 2015 Issue 19

Overpayments: Look Ahead: 3 Potential After Effects from Overpayment Case

Plus, what steps you should take now to protect yourself from enforcement actions. As the first case in which a court needs to interpret the Affordable Care Act’s (ACA) 60-day overpayment rule, Kane v. Healthfirst, Inc. et al. will very likely trigger a wave of regulatory and enforcement changes. Here are the top three effects, as predicted by attorneys Thomas Ferrante Jr. and Rhada Bachman of Carlton Fields Jorden Burt in an Aug. 5 analysis: 1.  Impact on Enforcement: “This ruling gives providers a real sense for how courts (and the Department of Justice) will interpret...

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