PI6
CMS-Required Outcome
CMS-required outcome
System can recover improper payments by: (a) Tracking repayments and outstanding amounts due at an individual transaction level as well as aggregating by provider, time period (b) Supporting electronic transfer back to the state (c ) Temporarily limiting future payments to provider(s) who have an outstanding recovery balance.
Default metrics
- Total recovered dollars/Total dollars identified
Regulatory sources
- None cited