Health Care Law Brief

APRIL 12, 2023

Notable Omissions from Proposed Rule CMS declined to adopt previously proposed amendments to the standard for “identified overpayments” under Medicare Parts A, B, C, and D. The Social Security Act requires “a person” who has received an overpayment to report and return the overpayment no later than 60 days after being “identified.”

Medicare 52

Medicare Medicare Overpayments Overpayment 52

YouCompli

DECEMBER 14, 2022

Here, any overpayment from a governmental payer source must be returned within 60 days of its identification. IT often recommends the adoption of certain tools and technologies that impact your electronic medical records. Those issues can help with early identification of localized and more systemic issues.

Compliance 52

Compliance Compliance Officers Nurses Overpayments 52

AIHC

APRIL 5, 2022

Providers may take documentation “short cuts” or feel overwhelmed with implementation of a new EMR (electronic medical record) system and clone or make documentation errors. If the payer, such as Medicare, performs an extrapolation, reducing each overpayment dollar through appeal can mean thousands less to pay back.

Fraud 52

Fraud Medicare Medicare Compliance 52

Physician Credentialing Company

DECEMBER 4, 2024

Use medical decision-making as the guiding factor, not just the duration of the visit. Track Time Accurately Automated time-logging tools or EMR Systems as Electronic Medical Records that capture the time spent during consult for each patient can be useful in this process.

Medical Billing 40

Medical Billing Overpayments Overpayment Electronic Medical Records 40

Hall Render

OCTOBER 7, 2022

Judge orders Anthem to face lawsuit over alleged Medicare overpayments. Medical groups want lawmakers to bolster safety for health care workforce. CCH about halfway through electronic medical records system install. How tight nursing home capacity is bottlenecking hospital operations.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40