PYA Senior Consulting Manager Traci Waugh is quoted in a recently published Report on Medicare Compliance, covering Medicare’s 60-day overpayment refund rule. Monitoring, identifying, and investigating overpayments can be a strenuous and time-consuming process. The article, “Credible Information Is Heart of 60-Day Rule; OIG: Self-Disclosure Pauses the Clock,” defines “credible information,” and explains how healthcare systems can minimize exposure under the 60-day rule by following self-disclosure protocol and employing proactive compliance activities.
Article Excerpt:
Sometimes hospitals are focused on the big picture and let small-dollar claims slide by even when they shouldn’t, Waugh said. The business may be in such a hurry to bring the money in that “they don’t have time to sit back and say, ‘I have been getting the same denial over and over.’”
Read the full article on the Health Care Compliance Association’s (HCCA) COSMOS, an online platform for easy access to the latest compliance information, or access it here.
If you would like more information on Medicare overpayment compliance, or for assistance with any matter involving coding, medical necessity, compliance, valuation, or strategy and integration, contact one of our PYA executives below at (800) 270-9629.
