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Inside CMS - 09/13/2018

Court Scraps CMS Rule That Strictly Defined MA Overpayments

September 12, 2018
A federal judge on Friday (Sept. 7) struck down a 2014 CMS rule that imposed a strict definition of Medicare Advantage overpayments and an exacting liability standard for when MA plans were required to report such overpayments and return them to CMS. The ruling is a significant victory for MA plans and, according to legal experts, could make it more difficult for CMS to combat fraud. In a column published by National Law Review , three health care attorneys at...


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