ACA, Compliance and Overpayment - Health Care Compliance Brief

CMS’s 60-Day Rule Impacts False Claims Act Liability

Hall Render

JANUARY 10, 2025

Background CMSs 60-Day Rule is a regulation under the Affordable Care Act (“ACA”) that requires health care providers and suppliers to report and return identified Medicare and Medicaid overpayments within 60 days of identifying them. Failure to comply can result in liability under the FCA. The rule is codified at 42 U.S.C.

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CMS’s 60-Day Rule Impacts False Claims Act Liability

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