Law360, New York (August 4, 2015, 9:14 PM EDT) -- The first court decision on a False Claims Act requirement to return identified overpayments from Medicare and Medicaid within 60 days laid waste to attempts by hospitals to dramatically weaken the policy, stressed the need to take overpayment allegations seriously and raised new questions about compliance obligations. Here are five takeaways from attorneys on Monday's ruling.
Judge Rejects Head-in-Sand Defenses
The long-awaited decision from U.S. District Judge Edgardo Ramos focused largely on what it means to “identify” an overpayment and start a 60-day clock created by the Affordable Care Act. Continuum Health Partners Inc., a hospital system accused of intentionally retaining excess...
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