Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.9.2.2

Take Administrative Action on Cases Referred to and

Last amended: 2023Year: 2023Length: 83 wordsOfficial source
4.9.2.2 - Take Administrative Action on Cases Referred to and Declined/Returned by OIG/OI (Rev. 11962; Issued: 04-21-23; Effective: 05-22-23; Implementation: 05-22-23) The UPICs take immediate action to implement appropriate administrative remedies, including the suspension or denial of payments, and the recovery of overpayments (see PIM, chapter 3). Because the case has been rejected by LE, UPICs shall consult with the BFL or Suspension SME concerning the imposition of suspension. They pursue administrative and/or civil sanctions by OIG where LE has declined a case.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.9.2.2: Take Administrative Action on Cases Referred to and | Justis AI