Final CMS Overpayment Rule Rankles AAFP President

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Final CMS Overpayment Rule Rankles AAFP President

Postby erniedls » Tue Feb 23, 2016 6:26 pm

CMS published their long-awaited Final Rule on how providers are to handle and return known overpayments:
https://federalregister.gov/a/2016-02789

The final rule states that providers and suppliers "have a clear duty to undertake proactive activities to determine if they have received an overpayment."

AAFP President Wanda Filer, M.D., M.B.A., of York, Pa., took immediate exception to the rule - see details in their article:
http://www.aafp.org/news/government-medicine/20160218finalruleoverpayment.html

Story Highlights
  • CMS has released a final rule requiring physicians to self-audit and self-report Medicare payment errors dating back six years from the time the overpayment was made.
  • AAFP President Wanda Filer, M.D., M.B.A., decried CMS' definition of "clear duty" and said family physicians have a clear duty to their patients.
  • Filer noted that the AAFP would continue to fight for a three-year look-back period.
Ernie de los Santos, MBA SSA
Founder & Faculty Chair
Appeal Academy
http://appealacademy.com

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