Corrective action under the MQC claims processing assessment system.

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medical Assistance Programs
  6. State Organization and General Administration
  7. Quality Control
  8. Medicaid Quality Control (MQC) Claims Processing Assessment System
  9. Corrective action under the MQC claims processing assessment system.

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§ 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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