Medicare Overpayments Final Rule: Analyzing Compliance for Revenue Integrity Presented on: Tuesday, July 14, 2016 1:00–2:30 p.m. Eastern Presented by: Judith L. Kares, JD, Esq. Robert Wade, JD, Esq. Sponsor: 2016 Revenue Integrity Symposium The Medicare overpayment final rule will put many hospitals at risk of noncompliance. It will test hospitals’ due diligence processes and formalize CMS’ expectations of financial transparency and efficient internal audits. Hospitals can use the final rule to analyze billing, coding, and compliance; identify chronic risk areas; and protect revenue integrity. However, the rule is complicated by the six-year lookback period, confusion about when and how CMS expects overpayments to be identified and returned, and the timing of the 60-day reporting period.
Managers and staff across compliance, health information management, and the revenue cycle must be able to identify overpayments and analyze the impact of the final rule on their hospital to ensure compliance, minimize lost revenue, and avoid penalties.
During this program, expert speakers Judith L. Kares, JD, Esq., and Robert Wade, JD, Esq., will discuss how to identify and report overpayments in a timely and acceptable manner, understand the consequences and key requirements, define staff roles and key terms so hospitals can hit the 60-day timeline, and identify acceptable options for overpayment reporting. At the conclusion of this program, participants will be able to: - Understand the purpose and key requirements of the Medicare overpayment final rule
- Describe the relationship of the overpayment final rule to other statutory and regulatory requirements
- Define the standard and applicable time frames for identification of an overpayment and how to report and return overpayments
- Analyze the benefits of compliance and risks of noncompliance
- Create processes to ensure compliance and reduce overpayments
Price: $259 |