By Jeff Overley (December 24, 2015, 8:37 PM EST) -- Major regulatory initiatives in 2016 will profoundly affect False Claims Act liability, Medicare reimbursement and enforcement of the Health Insurance Portability and Accountability Act, attorneys say. Here are key health care policies to watch in the year ahead.
FCA Liability Hinges on 60-Day Rule
By mid-February, the Centers for Medicare and Medicaid Services is expected to release a final rule explaining how it will enforce an Affordable Care Act requirement for doctors and hospitals to return Medicare overpayments no more than 60 days after identifying them. Failure to do so can trigger FCA liability.
A key issue is how CMS will...
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