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Senior Living Liability

Skilled nursing

Do we need billing errors and omissions coverage?

If you bill Medicare or Medicaid, yes, and the reason is defense cost rather than repayment. Post-payment reviews are document-intensive, frequently extrapolate from a sample across a much larger claim universe, and run through a multi-level appeal process that can take years.

What it does not cover is the overpayment itself, and correctly so: an overpayment is money that was never yours to keep. Any grant that appears to promise otherwise deserves a careful read.

Check three things. The sublimit. Whether it responds at the audit stage or only once a formal proceeding exists. And how the intentional conduct exclusion is worded, because a version that excludes on allegation rather than on final adjudication provides much less than it appears to.

Source: CMS, 42 CFR Part 483

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