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Medicare wants their money back. At least that’s what their “60-day rule” regulations say, and the increase in lawsuits they are filing against practices just like yours to get it.
Lack of compliance with these regulations can lead to you being fined up to $11,000 for each improper payment you received and didn’t return (going back up to 6 years). This affects all Medicare and Medicaid providers (outpatient practices, hospitals, clinics, home health agencies, etc.)
Medicare auditors identified incorrect claims payments for 2017 of approximately $41.08 BILLION. With this kind of money on the table, Medicare has a pretty big incentive to aggressively go after these funds – and you.
You should know that the government plans to vigorously enforce the 60-day overpayment rule. In fact, they’ve already taken legal action (Kane v. Healthfirst, Inc. et. al). The government is suing for $11,000 for each of the 900 overpayments identified by a whistleblower ($9.9 million). And the court has ruled that because the facility had been informed of the overpayments and didn’t take action quickly enough they are liable.
Call Unify Medical Billing to help you in review of your credit balance AR.