Corrective Action Reporting
This change request requires the ACs/MACs to report to CMS on corrective actions and overpayment collections on a quarterly basis. CMS will begin to provide the ACs/MACs with a list of service-specific errors or vulnerabilities on a quarterly basis. CMS has sent OIG reports and accompanying claim data to the ACs/MACs and will continue to on a quarterly basis. The ACs/MACs shall complete reporting forms on both corrective actions taken and overpayment recoveries made. These deliverables are due on or around March 1, June 1, September 1 and December 1 with the first report due March 1, 2011. This change request also adds two formats to Exhibit 18 that shall be used for corrective action and overpayment recovery reporting purposes.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 10, 2010
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