Tick-Tock: CMS Overpayment Refund Final Rule and Practical Implications
By EsqSocial Corporation 23/12/24
The Centers for Medicare & Medicaid Services issued its long-anticipated final rule clarifying the 60-day overpayment refund obligation (the 60-Day Rule) first established in a 2016 regulation for Medicare Part A and B providers and suppliers arising from the Affordable Care Act. The Final Rule—which becomes effective January 1, 2025—sets revised standards for identifying and returning overpayments to Medicare. The Final Rule lacks a clear bright line standard for overpayment refund obligations,...
By: Morgan Lewis