The 60-Day Rule & What It Means to Your Home Health & Hospice Agency
February 27, 2017
Speakers: Matthew Wolfe & Jamie Lesnett
Are Your Finance & Compliance Teams Ready & Able 60 to Comply with Medicare’s 60 Day Rule?
Under the Affordable Care Act, any health care provider that identifies an overpayment from Medicare or Medicaid has a legal requirement to return the overpayment. The Act requires that the overpayments must be reported and returned by the later of 60 days after the date identified or the date any corresponding cost report is due. This has left providers confused about what is meant by identifying an overpayment and how far back providers should “look back” when investigating possible overpayments. In 2016, CMS published final regulations clarifying how Medicare Part A and Part B providers are expected to audit for and fully investigate potential overpayments.
This webinar will cover the essential elements of the final regulation for Medicare providers such as: how to define when an overpayment is identified; what CMS expects regarding agency reasonable diligence; defining the lookback period; and, how overpayments should be reported and returned. The webinar will also touch on penalties and the appeals process as related to overpayments. The webinar will also discuss how the ACA provision affects payments from other federal health care programs such as Medicaid.
Matthew W. Wolfe, JD, Partner @ Parker Poe Adams & Bernstein
Matt Wolfe concentrates his practice in the areas of administrative litigation, government relations, and health care regulatory matters. Within his health care regulatory practice, Matt advises clients on a wide spectrum of legal and compliance issues, including licensure, Medicaid and Medicare enrollment, reimbursement issues, privacy, government investigations, prepayment and postpayment reviews, managed care and accountable care organizations, and regulatory interpretation.
Jamie Lesnett, JD, Partner @ Parker Poe Adams & Bernstein
Jamie Lesnett focuses his practice on complex business litigation and government investigations. Mr. Lesnett has extensive experience litigating complex business disputes in federal and state courts throughout the United States, including litigation involving contract disputes, business torts, unfair competition and trade secret misappropriation. Mr. Lesnett also has extensive experience representing clients in internal investigations, government investigations and enforcement actions regarding business crimes and civil frauds, including healthcare fraud, securities fraud, the False Claims Act and government con- tract fraud.
Convenience: Enjoy the convenience and cost-efficiency of a webinar – watch the speaker’s slide presentation on the internet while listening by telephone or through your computer’s microphone and speakers (VoIP). There is no limit to the number of attendees from your agency who may participate at your site using one phone line and a computer with internet access.
Confirmation: Prior to the webinar, a GoToWebinar link will be e-mailed to you. You will need to register through this link to attend the webinar. You will be sent a confirmation which will include a join link to access the webinar, a dial-in number and an access code to listen in via telephone. You will also be sent any pertinent hand- outs if available, and the sign-in sheet, and evaluation.
Registration Fee: Registration fees are based on one phone/webinar connection; multiple site participation for your agency will require a separate registration fee for each connection. Please note: if your agency has sent in 1 registration but 3 people from your agency register through the GTW link, your agency will be invoiced for the additional 2 registrations.
You will be sent the recording link following the presentation and it will be available for 30 days following the webinar. The webinar format allows education of staff in a concise and low cost format plus the additional bonus of having access to the materials for a full thirty days provides additional flexibility to ensure everyone in the agency has an opportunity to access the information.
HCAF Members $129
Cancellation Policy: Fees will be refunded only if written cancellation is received by HCAF two weeks prior to the webinar and no refunds after the GoToWebinar registration link is sent to your agency. In the event of a written cancellation, HCAF will retain, or charge, $40 of the initial registration fee, per registrant, to cover administrative overhead. Once written cancellation is received, an HCAF staff member will review for approval. If your cancellation is approved, we will email back a signed and dated copy of the cancellation that your agency should retain on file in case of questions.
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