CMS Settles on 60-Day Window to Report Overpayments, with 6-Year Lookback

February 17, 2016 | Strategic Insights for Health System


​Medicare Parts A and B providers will have 60 days to report and return overpayments under a Centers for Medicare and Medicaid Services (CMS) final rule published in the February 12, 2016, Federal Register. The 60-day cutoff is defined as the later of two possible dates, measured either from the time the overpayment was identified or the date any corresponding cost report is due, if applicable. Reporting and repayment must occur if the overpayment is identified within six years—a reduction from the 10-year lookback period that CMS included in its proposed rule.

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