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At issue: hospital overpayments of $54.4 million. There has been recent talk on an online user group that many hospitals have had recoupments of payment for inpatient admissions from 2016 to 2018 due to an “incorrect discharge status code.” This appears to be in response to a November 2019 audit…
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This question can help you evaluate lawyers EDITOR’S NOTE: This is the second and final installment in a two-part series as to when facilities should voluntarily refund an overpayment. It can be difficult to know if you’re getting good advice from your lawyer, but here is a good test to…
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Medicare will waive any overpayment if the provider is without fault EDITOR’S NOTE: This is the first in a two-part series as to when facilities should voluntarily refund an overpayment. An often-overlooked provision of the Medicare statute protects providers and suppliers when they are not responsible for a mistake that…