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Four years after the proposed rule was issued, CMS has issued the final 60-day overpayment rule, formally called Reporting and Returning of Overpayments. It reduces the look-back period within which the agency can act on determinations that providers have received too much in Medicare funds but sets rigorous standards for determining what an overpayment is – including “over-coded” E/M claims.

What was speculation is now official: CMS will accept hardship exceptions for the meaningful use reporting program because of the delayed rulemaking that the federal agency issued for the program's modified stage 2 and stage 3.
You have an additional 15 days to let CMS know how you feel about the direction of Medicare-related quality-reporting programs, such as the physician quality reporting system (PQRS) and electronic health record (EHR) reporting.
In the Jan. 25 issue of Part B News, editor Julia Kyles, CPC, shared a "lifeline" for practices seeking to report their 2015 physician quality reporting system (PQRS) data.
In 2015, providers undercoded their way out of $1.2 billion, a large portion of which was tied to underreporting established-patient office visits related to E/M codes 99211-99215.

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