Protecting and advancing the home medical equipment industry in Utah.

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Dec
13
12:30 AM00:30

Six-Year Lookback Audits: How to Prepare and Respond

TUESDAY, DECEMBER 13, 2022 ~ 2:30PM - 3:30PM ET

PRESENTED BY JEFFREY S. BAIRD, ESQ. AND DENISE M. LEARD, ESQ. OF BROWN & FORTUNATO

The Affordable Care Act includes the 60-day overpayment rule that requires DME suppliers to refund overpayments within 60 days of identification. What many suppliers are not aware of is that if an overpayment is identified, either internally or externally, suppliers are mandated by law to perform a six-year lookback audit. If suppliers do not comply with this rule, they are at risk for false claim penalties.

This webinar will (i) discuss the 60-day overpayment rule and the six-year look back obligation; (ii) discuss steps that suppliers can take to reduce the risk of being subjected to the 60-day overpayment rule; and (iii) set out the steps the supplier should take to successfully fulfill its obligations under the rule.

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