Upcoming Medicare Webcast

Medicare Overpayments Final Rule: Analyzing Compliance for Revenue Integrity

Presented on:
Thursday, 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.

Meet the Speaker

Judith L. Kares, JD, Esq., is an expert in Medicare rules and regulations and is an instructor for HCPro's Medicare Boot Camp—Hospital Version^®. She spent a number of years in private law practice, representing hospitals and other healthcare clients, and then served as in-house legal counsel for two large third-party payers.

Robert Wade, JD, Esq., concentrates his practice in representing healthcare clients, including large health systems, hospitals, ambulatory surgical centers, physician groups, physicians, and other medical providers. His expertise includes representing clients with respect to the Stark Act, the anti-kickback statute, the False Claims Act, and the Emergency Medical Treatment and Active Labor Act. .