Medicare Overpayments Rule
Regulatory
Quality
Payment
Summary
CMS has implemented a rule governing the ACA requirement to identify and return Medicare overpayments to CMS within 60 days. Under the rule, providers, including Skilled Nursing Facilities, are required to use “reasonable diligence” to identify overpayments and to see that they are returned within the time frame to avoid penalties.
Sources of additional information
- CLICK HERE for the full rule language.
- CLICK HERE for a summary of the rule from LeadingAge.
Important dates and deadlines
Mar. 14, 2016: Rule in effect Rule
Rule could be revised in the future with new timeframe, etc.
Providers put in place processes to identify and return overpayments within 60 days
