The importance of managing Overpayments in health care cannot be overstated!!

Under the False Claims Act (FCA), knowingly retaining or failing to return an identified Overpayment can result in significant civil liability, including penalties and treble damages. The Affordable Care Act (ACA) in 2010 introduced a clear statutory requirement known as the 60-Day Rule, which mandates that any Medicare or Medicaid overpayment must be reported and returned within 60 days of identification. Failure to comply with this requirement may constitute a violation of the FCA.

Every health care Compliance Program must define its strategy and internal controls for avoiding and repaying Overpayments. That means you must have a written policy and procedure! Because this issue is so critical to an Effective Compliance Program, Wild Consulting is providing this free, comprehensive policy and procedure.