In 2025, healthcare providers in New York may witness a significant change in how insurance companies recover overpayments, aims to amend Section 3224-b of the New York Insurance Law, reducing the lookback period for overpayment recovery from two years to just three months. If enacted, this legislation could bring about transformative changes in administrative processes, compliance, and financial management for healthcare providers.
Let’s explore the key aspects of this bill, its implications, and how providers can prepare for this potential shift.
The Problem at Hand: The Burden of Lengthy Lookback Periods
Under current law, insurance companies can seek to recover overpayments for up to two years after a claim is paid. While this provides insurers ample time to identify discrepancies, it often places an undue burden on healthcare providers.
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