Session Topic

Avoiding Unnecessary Paybacks

2020 Evaluation and Management Symposium: Virtual Conference

Presented Thursday, September 24, 2020


Most people understand that the 60-day rule requires health care organizations to report and return overpayments to Medicare. However, many mistakenly conclude that common billing errors create an overpayment. As a result, millions of dollars are unnecessarily refunded. This session will identify many situations that, while mistakes, do NOT require a refund. Gain understanding of why billing under the name and number of the wrong professional, having a Medicare encounter with insufficient documentation, or an unsigned note will typically NOT require a refund. Improve your knowledge of the regulations and avoid unnecessary paybacks.

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  David Glaser, J.D. — Healthcare Attorney, Shareholder, Fredrikson & Byron Law Health Law Group
David M. Glaser is a shareholder in Fredrikson & Byron's Health Law Group. David assists clinics, hospitals, and other health care entities negotiate the maze of health care regulations, providing advice about risk management, reimbursement, and business planning issues. He has considerable experience in health care regulation and litigation, including compliance, criminal and civil fraud investigations, and reimbursement disputes. David's goal is to explain the government's enforcement position, and to analyze whether this position is supported by the law or represents government overreaching.