Medicare Overpayments: Now what? What do you do and when do you do it?

Duration: 90 Minutes
The course will cover all aspects of overpayment, identification of overpayment on the organizations part, overpayment and demand bills from Medicare. What to do if you believe the over payment demand is in error.
Medicare Compliance
Instructor: Laura S Hargraves
Product ID: 501449
Objectives of the Presentation
  • What is Medicare overpayment
  • Common errors creating overpayment
  • What penalties may apply
  • What actions to take once a Demand Bill for Overpayment is received
  • Difference between a demand bill for over payment and an organizations identification of Overpayment
Why Should you Attend
Preserving revenue is essential to ensure quality of care. Services are provided with the belief and expectation that what was provided was needed and correctly billed for. This course will help you ensure that when you receive a demand bill you have reviewed the request, taken the appropriate steps and done what needs to be done to ensure that the smallest amount of revenue is returned to Medicare.

Areas Covered
  • Identification of Overpayment (internal) VS Demand Bill for Overpayment (external)
  • Demand Bills related to Medicare as a Second Payer?
  • Penalties; CMS plus civil
  • The look back period- how far back can CMS look
  • Reasonable diligence- what is this and how does it impact
  • Auditing for identification -necessary
Who can Benefit
  • Any organization that participates Medicare, CFO, Administrators, CEO's, Department Heads for Bookkeeping and billing departments
  • Any Participant in the Medicare Programs : Hospitals /Skilled Nursing Facilities/ Physician's offices/Outpatient Clinics
Topic Background
In efforts to ensure proper payment and to reduce fraud and abuse increased oversight has occurred. Under the new Final Rule Overpayments have been targeted. The expectation for CMS contractors to identify overpayments as well as for the organizations to self audit is present. Knowing expectations and processes help organizations to ensure they are compliant and reduce their risk for overpayment and any potential penalties.
$375
Recorded Session for one participant
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How it works
Live Session - How it works
  • Login to onlinecompliancepanel with your registered username and password https://www.onlinecompliancepanel.com/login
  • The webinar joining link, username and password for joining the webinar will be updated on your OCP Account 24 hours prior to the webinar
  • Presentation handouts in Downloadable PDF format will be updated on your OCP Account 24 hours prior to the live session
  • Login to the audio conference on the scheduled date and time
  • Get answers to your queries through interactive Q&A sessions via chat at the end of the session
  • Download the Certificate of Attendance and Purchase Invoice from your OCP Account 24 hours after the completion of the session
  • Please let us know your thoughts and views at the end of the webinar, your valuable feedback will help us improve
Recorded Session - How it works
  • Login to onlinecompliancepanel with your registered username and password https://www.onlinecompliancepanel.com/login
  • Upon purchase of the recorded session a link will be updated on your OCP Account within 24 hours
  • Please click on the link to access the Recorded Session
  • Presentation handouts in downloadable PDF format will be updated on your OCP Account within 24 hours of the purchase of the product
  • Download the Certificate of Attendance and Purchase Invoice from your OCP Account after 48 hours of the product Purchase
  • Please share your valuable Feedback at the end of the session
Instructor Profile:
Laura S Hargraves, MS CCC- SLP RAC-CT, has been working in all aspects of the healthcare industry for the past 28 years. Ms. Hargraves has been providing compliance and oversight of documentation to meeting changing guidelines during this period. She has a background in education, which helps her maximize her ability to communicate these changes to the various professionals that she works with. She is an expert in documentation/compliance/audits and reviews. Ms. Hargraves is also a professional presenter on topics related to Medicare, MDS 3.0, and documentation.


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