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March 2, 2015

Recent Stories of Interest

From Report on Medicare Compliance - It’s a little ironic that CMS didn’t make the three-year deadline for finalizing the regulation on the Medicare repayment mandate, considering the anxiety that providers feel when the clock starts ticking on the 60 days they have to report and return any overpayments. Whatever your sense of irony or poetic justice, on Feb. 12 CMS announced in the Federal Register it would take another year to finalize the proposed rule for refunding Medicare and Medicaid overpayments. Read more

For some compliance officers, the job doesn’t live up to expectations. The… Read more

ResCare Iowa Inc. agreed to pay $5.63 million to settle false claims… Read more

Patients in the gray area of medical necessity present a regulatory, reimbursement… Read more

From the Editor

Welcome to your Report on Medicare Compliance subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles, links to government documents and more!

Please e-mail me with your comments on the last issue of Report on Medicare Compliance, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

February 24, 2015
OIG Posts New Kwashiorkor Reports

OIG posted two reports on Kwashiorkor overpayments by Baptist Medical Center at http://tinyurl.com/kuadlg8 and Methodist Hospital at http://tinyurl.com/ls6t2q6.

February 10, 2015
ResCare Iowa Settles False Claims Allegations

ResCare Iowa Inc., agreed to pay $5.63 million to settle false claims allegations over home health billing.

February 9, 2015
CMS Release Final MA/Part D Rule

‪‎CMS‬ released its final Medicare Advantage/Part D rule, dropping a provision requiring insurers to hire independent auditors after significant backlash. http://tinyurl.com/n2dcjxh

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