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Compliance With Medicare 60-Day Overpayment Rule

Learn compliance obligations and practical strategies relating to Medicare overpayments.

This topic will explore the historical development of the government's approach to the reporting and returning of overpayments. In addition to discussing the current enforcement environment and government priorities, this material will also provide an overview of Medicare overpayment obligations. In addition, this material will review enforcement trends as well as challenges many providers have faced as they attempt to implement the requirements from the final rule. We will also consider practical strategies for providers in light of these challenges.

Runtime: 93 minutes
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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Overall Enforcement Environment

Background Information Regarding 60-Day Rule

Key Aspects of Medicare Overpayment Obligations

  • Definition of Identification
  • Reasonable Diligence
  • Credible Source of Information
  • Lookback Period
  • Timing Considerations

Enforcement

Challenges and Practical Considerations for Providers

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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Course

This course was last revised on July 16, 2020.

Call 1-866-352-9540 for further credit information.

  • AHIMA 1.5 including Informatics, Analytics, and Data Use 1.5
     
  • This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
     

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

MP3 Download

  • Arizona CLE 1.5
     
  • CA MCLE 1.5
     
  • CT CLE 1.5
     
  • HI CLE 1.5
     
  • ME CLE 1.5
     
  • NJ CLE 1.8
     
  • NV CLE 1.5
     
  • VT CLE 1.5
     
  • WA CLE 1.5
     
  • WV MCLE 1.8
     
The CLE Code is ONLY a requirement when applying for CLE Credit in California (for participatory credit), Kansas, New Jersey or New York. Other states do not need to supply the CLE Code to apply for CLE credit.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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More Program Information

Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Lauren S. Gennett

Lauren S. Gennett

King & Spalding

  • Senior associate in King & Spalding’s Atlanta office and a member of the firm’s Healthcare Practice Group
  • Practice focuses on the representation of health care clients in litigation, internal investigations, government investigations and regulatory matters
  • Advises health care providers on how to prepare for and respond to audits conducted by government contractors, including recovery audit contractors, Medicare administrative contractors, and zone program integrity contractors; she also assists with the development of Medicare and Medicaid appeal strategies for providers
  • Also advises clients regarding various regulatory compliance matters, including patient status determination issues and implementation of Corporate Integrity Agreements
  • Served as a guest lecturer for topics in health care law at the Emory University Rollins School of Public Health and the Georgia State University College of Law
  • J.D. degree, with honors, Emory University School of Law; M.P.H. degree, with a focus in health policy, Emory University Rollins School of Public Health; undergraduate degree in public policy, highest honors, University of North Carolina at Chapel Hill, where she was elected to the Order of the Golden Fleece Honorary Society
Isabella E. Wood

Isabella E. Wood

King & Spalding

  • Senior associate in King & Spalding’s Atlanta office and a member of the firm’s Healthcare Practice Group
  • Practice focuses on the representation of health care clients in litigation, investigations, and regulatory matters
  • Advises clients on federal and state regulatory issues, including Medicare and Medicaid reimbursement, compliance, and fraud and abuse investigations
  • Also assists with health care regulatory due diligence in connection with acquisitions
  • Frequently writes and speaks on the topic
  • J.D. degree, summa cum laude, University of Georgia; B.A. degree, cum laude, University of Southern California
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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

All of your training, right here at Lorman.

Pay once and get a full year of unlimited training in any format, any time!

  • Live Webinars
  • OnDemand Webinars
  • MP3 Downloads
  • Course Manuals
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  • Executive Reports
  • White Papers and Articles
  • Sponsored Live Webinars

Additional benefits include:

  • State Specific Credit Tracker
  • Members Only Newsletter
  • All-Access Pass Course Concierge

* For audio recordings you only pay shipping

Questions? Call 877-296-2169 to speak with a real person.

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Product ID: 407614
Published 2020
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Available in Multiple Formats

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