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CMS’ Medicare Advantage Overpayment Rule Takes a Permanent Vacation: What’s Next for Payors and Providers Alike

Sheppard Mullin Healthcare Webinar

Last month, the U.S. District Court for the District of Columbia vacated the Centers for Medicare and Medicaid Services’ overpayment rule for the Medicare Advantage Program. The decision is important for what it means and doesn’t mean for MAOs, as well as for pending False Claims Act cases and Medicaid managed care organizations. Providers should also understand the implications of the court’s decision, since CMS’ separate overpayment rule for providers has many of the same flaws as the MA overpayment rule.

Please join us for a webinar on October 16, 2018 at which Sheppard Mullin attorneys will analyze the court’s decision and discuss its potential implications for payors, providers and the government.


Sheppard Mullin attorneys Christine Clements, Michael Paddock and Paul Werner will discuss a range of topics including:

  • Basis and scope of the court's decision.
  • What overpayment refund obligations still exist, and how do they differ?
  • When is an overpayment "identified" now?
  • Impact on pending FCA cases and government investigations.
  • Impact beyond MA, including for healthcare providers.
  • Possible next steps for CMS.

Who should attend? 

  • In-house attorneys
  • Compliance officers
  • SIU investigators

MCLA Credit

This activity has been approved for Minimum Continuing Legal Education credit by the State Bar of California. Sheppard Mullin Richter & Hampton LLP certifies that this activity conforms to the standards for approved education activities prescribed by the rules and regulations of the State Bar of California governing minimum continuing legal education.

This program has been approved in accordance with the requirements of the New York State Continuing Legal Education Board for a maximum of 1.5 credit hours which may be applied toward the Areas of Professional Practice requirement, and is suitable for both transitional and non-transitional attorneys.


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