Takeaways From Medicare’s 60-Day Overpayment Rule

On Feb. 11, the Centers for Medicare & Medicaid Services provided long-awaited guidance to Medicare Part A and Part B providers and suppliers (providers) on how to comply with the Affordable Care Act provision requiring them to report and return overpayments within 60 days after they are “identified.” Although part A/B providers have faced False Claims Act liability for failures to comply since 2010, until this final rule (part A/B final rule), they lacked any directly applicable guidance about how to fulfill their obligations. The part A/B final rule provides some measure of clarity to providers.