Ambulance services have to report and return Medicare “overpayments” within 60 days. This Final Rule is critical because it clarifies the 60-day overpayment requirement by defining things such as what it means to identify an overpayment. It also discusses how providers can avoid False Claims Act liability by acting with “reasonable diligence.”
In this Rule, the government also touts the importance of compliance programs and monitoring Medicare payments in stating:
“Providers and suppliers are responsible for ensuring their Medicare claims are accurate and proper and are encouraged to have effective compliance programs as a way to avoid receiving or retaining overpayments. We believe that undertaking no or minimal compliance activities to monitor the accuracy and appropriateness of a provider or supplier's Medicare claims would expose a provider or supplier to liability... if the provider or supplier received an overpayment”
Read Page, Wolfberg & Wirth’s analysis of the Rule by clicking HERE.
