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Patient Overpayment Compliance: New Rules, Audit Risk, and Best Practices

By - Amanda Waesch, Esq.

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Patient credit balances are more than an accounting issue—they are a growing compliance risk. Improperly tracked or unresolved patient overpayments can expose your practice to repayment demands, corrective action plans, and expanded audit scrutiny.

Federal law has long required healthcare providers to maintain a documented process for identifying, monitoring, and refunding patient overpayments within specific timeframes. However, a newly enacted Florida patient overpayment law has brought renewed enforcement attention to this requirement, making it a priority focus for auditors and regulators.

History shows that when a state formalizes stricter interpretations of existing federal rules, enforcement efforts often widen—both in scope and geography. As a result, practices nationwide may face increased audit activity, regardless of location. Waiting to act could significantly increase compliance risk. This is where proactive preparation matters.

Amanda Waesch, Esq., a nationally recognized healthcare attorney, will lead a 60-minute live online training designed to help healthcare organizations understand and comply with patient overpayment requirements before enforcement intensifies. This session will provide clear guidance on what the law requires, where practices commonly fall short, and how to implement defensible processes that withstand audit scrutiny.

During this session, you’ll learn:

  • Your obligations under the federal patient overpayment law
  • How the new Florida law is influencing audit priorities nationwide
  • Common compliance gaps that trigger repayment demands and corrective actions
  • Practical steps to document, monitor, and refund patient overpayments correctly
  • How to prepare your practice before this issue escalates further

This training is designed to give you clarity, confidence, and a clear compliance roadmap—so your
organization can reduce risk, respond effectively to audits, and stay ahead of regulatory changes.

What You’ll Learn:

This training delivers practical, defensible guidance on how to comply with patient overpayment
requirements—and how to protect your practice when auditors begin requesting proof. You’ll learn
how to move beyond informal fixes and implement processes that meet regulatory expectations at
both the federal and state levels.

During this session, you’ll learn how to:

  • Implement patient refund processes that align with federal requirements and emerging state
    laws, including Florida’s
  • Document refund activity in a manner that withstands audits, due diligence reviews, and
    regulatory scrutiny
  • Reduce exposure to repayment demands, corrective action plans, and expanded audit scopes
  • Strengthen internal refund compliance before auditors request documentation
  • Prepare proactively for other states expected to adopt similar or stricter refund laws in 2026
    and beyond
  • Shorten refund timelines and eliminate delays tied to unresolved credit balances
  • Identify and correct overlooked patient overpayments before they trigger violations
  • Understand the most common causes of patient overpayments and how to reduce future
    liability
  • Position your practice for heightened enforcement as regulatory scrutiny increases in 2026

Auditors are already requesting detailed documentation related to patient credit balances as part of
routine due diligence under patient overpayment laws. Practices that cannot demonstrate clearly
defined policies, consistent processes, and defensible documentation—even if refunds are
eventually issued—may face significant penalties, corrective action plans, and legal costs.

Who Should Attend:

This training is essential for:

  • Practice owners
  • Administrators
  • Billing and revenue cycle managers
  • Compliance and audit staff
  • Anyone responsible for patient refunds or credit balance oversight

Failing to properly manage patient credit balances places your practice at increased risk for
expanded audits and costly compliance findings. This training provides the clarity and structure
needed to address these risks before enforcement intensifies.

Registration is limited to ensure a focused, high-value learning experience.
Secure your spot today and take control of your patient overpayment compliance.

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Speaker Detail

Amanda Waesch, Esq.

Amanda Waesch is a nationally recognized healthcare attorney with extensive experience helping providers navigate compliance, employment law, and healthcare litigation. She advises practices, hospitals, and physician groups on a wide range of operational and regulatory issues, including fraud and abuse compliance, employment agreements, non-compete and severance contracts, and policy development. Known for her practical, plain-English approach, Amanda has guided countless healthcare leaders through complex compliance mandates, helping them avoid violations while protecting revenue and staff. She regularly speaks to healthcare organizations nationwide and is trusted for turning complex regulations into actionable, real-world strategies.

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