Title 42

SECTION 431.836

431.836 Corrective action under the MQC claims processing assessment system.

§ 431.836 Corrective action under the MQC claims processing assessment system.

The agency must -

(a) Take action to correct those errors identified through the claims processing assessment system review and, if cost effective, to recover those funds erroneously spent;

(b) Take administrative action to prevent and reduce the incidence of those errors; and

(c) By August 31 of each year, submit to CMS a report of its error analysis and a corrective action plan on the reviews conducted since the cut-off-date of the previous corrective action plan.

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