tci Medicare Compliance & Reimbursement - 2015 Issue 19

Reimbursement: 'Prosecutorial Discretion' Could Save You from Overpayment Penalties -- Here's How

Could your diligent and faithful actions bail you out on day 61? You must start preparing to pay back overpayments as soon as you catch wind of them — even if you don’t yet know exactly how much the overpayment totals. So says a game-changing court case that will change the way you track overpayments from Medicare and Medicaid. Whistleblower Case Highlights Overpayment Rule Background: In the case, Kane v. Healthfirst, Inc. et al. (and U.S. v. Continuum Health Partners Inc. etal.), the defendants included Continuum Health Partners Inc., Beth Israel Medical Center d/b/a Mount Sinai...

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