Medicare Reporting and Returning of Self-Identified Overpayments

CMS has published a final rule that requires Medicare Parts A and B health care providers and suppliers to report and return overpayments by the later of the date that is 60 days after the date an overpayment was identified, or the due date of any corresponding cost report, if applicable. The requirements in this rule are meant to support compliance with applicable statutes, promote the furnishing of high quality care, and to protect the Medicare Trust Funds against improper payments, including fraudulent payment.  This rule clarifies requirements for the reporting and returning of self‑identified overpayments.  Health care providers and suppliers have been and will remain subject to statutory requirements and could face potential False Claims Act (FCA) liability, Civil Monetary Penalties Law (CMPL) liability, and exclusion from federal health care programs for failure to report and return an overpayment. 

Source: https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-02789.pdf