PROGRAM OVERVIEW

This webinar will discuss internal investigations of Medicare and Medicaid overpayments and the decision to voluntarily return overpayments to the Medicare Administrative Contractor (MAC), the Office of Inspector General or CMS. It will also provide practical advice for creating a complete and accurate disclosure to the MAC, OIG or CMS. Faculty will address how overpayment investigations interact with CMS's rule to return the identified overpayment within 60 days of identification or face potential liability under the False Claims Act.

LEARNING OBJECTIVES

• Evaluate the existence of an overpayment through investigation and identify members of the investigatory team.
• Outline options to return identified overpayments to the MAC, OIG or CMS and related processes.
• Summarize the necessary steps for assembling a complete and accurate disclosure to the MAC, OIG or CMS.

INTENDED AUDIENCE

• Billing and revenue cycle managers
• Compliance professionals
• Health care leadership

SPEAKERS

Zach Buxton is an attorney with Baird Holm who concentrates his practice on health care law. He represents hospitals, health care facilities, physician practices and other health care providers in regulatory, transactional and reimbursement matters. He has helped clients in a range of health care issues, including compliance with fraud and abuse laws, physician contracting and compliance program assessments. He helps clients navigate nondiscrimination rules of the Affordable Care Act and additional requirements for charitable hospitals under section 501(r) of the Internal Revenue Code.

Kim Lammers is a partner and associate attorney at Baird Holm who assists clients with advice and representation for issues relating to federal health care program fraud and abuse laws, regulatory compliance, Medicare and Medicaid reimbursement, clinical denials and appeals. She is also a Certified Professional Coder through the American Academy of Professional Coders and is an active member of various legal associations, including the American Health Lawyers Association and the Health Care Compliance Association.