Medicare and Medicaid Repayments and Disclosures
Meeting Refund and Reporting Obligations to Comply With Regulatory Requirements
Recording of a 90-minute CLE webinar with Q&A
This CLE course will guide healthcare counsel on the legal obligations, benefits, incentives, and risks of reporting and repaying improper Medicare and Medicaid payments. The panel will offer best practices for complying with the requirements for reporting and returning overpayments.
Outline
- Medicare requirements for overpayment
- Benefits, incentives, risk of disclosure
- Rules of the road in investigating and responding to potential overpayments
Benefits
The panel will review these and other key issues:
- What are the obligations concerning potential overpayments?
- What are the benefits and incentives for refunding and disclosing overpayments? What are the risks?
- What factors should healthcare providers consider when determining where to make a disclosure?
- Practical considerations when investigating potential overpayments, including when performing audits, analyzing error rates, and using statistical sampling
- The effect of the 60-day refund statute on overpayments involving Medicaid, Medicare Advantage, and Medicaid Managed Care plans
Faculty
Robert L. Roth
Partner
Hooper Lundy & Bookman
Mr. Roth advises clients on matters arising under Medicare and Medicaid, focusing on payment, compliance, and... | Read More
Mr. Roth advises clients on matters arising under Medicare and Medicaid, focusing on payment, compliance, and licensing issues. He handles matters such as reimbursement, overpayment refunds/disclosure, and coordination of benefits. He previously served in the Office of the General Counsel of the Department of Health and Human Services, assigned to the predecessor agency to the Centers for Medicare & Medicaid Services.
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Jesse A. Witten
Partner
Drinker Biddle & Reath
Mr. Witten counsels on health law issues, including Medicare and Medicaid reimbursement and price reporting... | Read More
Mr. Witten counsels on health law issues, including Medicare and Medicaid reimbursement and price reporting requirements, compliance with Anti-Kickback and Stark laws, and implementation and operation of corporate compliance programs. He previously served as a Deputy Associate Attorney General in the U.S. Department of Justice where his duties included co-chairing the DOJ's Healthcare Fraud Task Force.
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