The CMS Final 60-Day Rule: Reduce Your Firm’s Risk Exposure
On February 12, 2016, the Centers for Medicare and Medicaid Services (CMS) released its long-awaited final rule for reporting and returning Medicare and Medicaid overpayment. The 60-day rule requires healthcare providers and suppliers to report and return the overpayments received from Medicare or Medicaid within 60 days after the date on which the overpayment was identified. Failure to timely report and return an identified overpayment is subjected to substantial liability under the False Claims Act (FCA). In light of this, it is important that healthcare providers and suppliers understand the final rule and its framework to ensure that they are in compliance with the requirements of the rule and to avoid potential FCA liability.
In a two-hour LIVE Webcast, a panel of thought leaders and practitioners assembled by The Knowledge Group will discuss the key elements of the CMS Final 60-Day Rule. The panel will help healthcare providers and suppliers understand and avoid the possible risks associated to noncompliance.
Some of the major topics covered in this course are:
- Key Elements of the Final 60-Day Rule
- Definition of “Identification”
- Six-Year Look-Back Period
- Impact on Self-Disclosure Protocols
- Recent Case Law
- Avoiding FCA Liability
Kristin Cilento Carter, Principal
Ober | Kaler
Who Should Attend:
- Healthcare Law Attorneys
- Healthcare Organizations (Financial Reporting & Accounting)
- Healthcare Providers and Suppliers
- In-house Counsel
- Hospital Executives (Finance, CFOs, General Counsel and Related)
- Medical Directors
- Healthcare Finance Executives
Kristin Cilento Carter is a principal in Ober|Kaler's Health Law Group. Kristin represents a broad spectrum of health care providers, including hospitals, clinical laboratories, physicians and other health care providers. A substantial portion of her practice involves advising clients on federal and state fraud and abuse laws and regulatory compliance issues. She also provides counsel regarding regulatory and licensure issues and managed care reimbursement and Medicare/Medicaid reimbursement issues.
Kristin has extensive experience analyzing arrangements under the federal Anti-Kickback Statute, Stark law and state fraud and abuse provisions. She takes a holistic approach to advising clients about potential arrangements with other health care providers, and frequently assists clients with internal investigations, self-disclosures to government entities, acquisition due diligences, and corporate compliance matters.
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Method of Presentation:
NASBA Field of Study:
Specialized Knowledge and Applications
NY Category of CLE Credit:
Areas of Professional Practice
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