The Affordable Care Act requires any person who has received an overpayment from certain defined government health programs to report and return the overpayment within 60 days after the overpayment is identified. If an...more
The 60-day repayment rule adopted as part of the Affordable Care Act is a very strong arrow in the quiver of federal enforcement agencies. Under the 60-day rule a known overpayment can become a False Claim if it is not repaid...more
We hear a lot about potential liability under the False Claims Act (FCA) for the failure to repay overpayments within 60 days of discovery. Focus on the 60-day rule has taken focus away from the potential for criminal charges...more
4/14/2017
/ 60-Day Rule ,
Criminal Penalties ,
Criminal Prosecution ,
False Claims Act (FCA) ,
Federal Criminal False Claims Statute ,
Felonies ,
Health Care Providers ,
Overpayment ,
Overpayment Recovery Time Limits ,
Provider Self-Disclosure Protocol ,
Yates Memorandum
Medical practices that routinely use laser technology are subject to some of the same legal issues as other types of practices. Use of lasers creates additional compliance issues and highlights certain compliance risk areas....more
4/10/2017
/ 60-Day Rule ,
Compliance ,
False Claims Act (FCA) ,
Fraud ,
Fraud and Abuse ,
Healthcare Fraud ,
HIPAA Audits ,
Medicare ,
Physicians ,
Risk Assessment ,
Risk Mitigation ,
Telehealth
The HHS Office of Inspector General offers providers an opportunity to self-disclose certain violations in exchange for avoiding some of the more draconian penalties that may otherwise apply under applicable regulations. ...more