"It kind of puts plans in...

 ...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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