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This presentation is an analysis of the CMS 60-day rule regarding overpayments received by a healthcare provider from Medicare or another federal healthcare program. It looks into the first case where the DOJ has intervened in a False Claims Act (FCA) case involving the 60-day rule application - the Healthfirst case out of NY. This case will be the first time the Court is going to address the issue of when an overpayment is "identified" pursuant to the rule. In addition, the presentation discusses the issue of what happens when a healthcare provider does "identify" an overpayment and whether or not the healthcare provider should engage in the Self Disclosure Protocol (SDP) and the steps a healthcare provider should look to when considering the SDP.

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