PPACA – New 60-Day Time Limits for Reporting and Returning Overpayments

Reporting and returning overpayments is now an obligation of providers and suppliers. As part of the enhanced program safeguarding provisions in the new Patient Protection and Affordable Care Act (PPACA), providers and suppliers are required to report and return overpayments within 60 days of the date the overpayment has been identified. Failure to meet this deadline may result in liability under the False Claims Act. This obligation, based on the plain statutory language, appears to be effective immediately according to attorneys I’ve talked to. The PPACA, however, does not seem to define the word “identified.”

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