...limbo as far as their obligation, but of course they do have this helpful commentary from the court saying that the overpayment rule does not impose a self-auditing obligation and that plans are only obligated to report known overpayments."
— Christine Clements, a partner in Washington, D.C., with the
law firm of Sheppard Mullin, spoke with AIS's RADAR on Medicare Advantage about a recent
federal appeals court ruling that reversed a 2018 ruling in a UnitedHealth
lawsuit that challenged CMS's 2014 Overpayment Rule, and its implications for
MAOs.
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