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Risk Adjustment

Home → Risk Adjustment

Overpayment Rule Stands: Review Your Plan’s Processes and Procedures Now to Avoid False Claims Act Liability

On July 6, 2022   /   Risk Adjustment  

The Supreme Court recently denied a health plan’s petition related to the Centers for Medicare & Medicaid Service’s (CMS) Overpayment Rule, which requires Medicare Advantage (MA) organizations to return identified overpayments to CMS within 60 days. In short, this means that the Overpayment Rule remains in effect and

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