Final Settlement Payment for Medicare HCPPs

20.2.2 - Final Settlement Payment for Medicare HCPPs (Rev. 30, 09-05-03) If the final settlement determination is greater than payments already made to the HCPP through monthly capitation payments, an underpayment will be declared, and CMS will make a lump-sum payment to the HCPP. Conversely, if the final settlement determination is less than the total payment made, the HCPP has been overpaid, and CMS must recover the overpayment.