tci General Surgery Coding Alert - 2017 Issue 9

Reader Question: Abide by CMS 60-Day Rule

Question: Is it true that we have only 60 days to return any overpayments to federal health programs? Supercoder Subscriber Answer: Yes, CMS issued a rule last year setting a 60-day limit on returning overpayments to federal agencies. The important thing to remember is that while the rule might seem simple, it actually represents some big changes related to compliance – and a practice that fails to comply might face huge penalties. The reasoning: Every practice occasionally handles overpayments, but the 60-day rule is designed to help practices identify systemic overpayment problems. Federal officials expect providers to sniff out...

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