If the sampled data indicates the inclusion of non-qualified providers under CMS 2370-F should repayment

The Center for Medicare & Medicaid Services (CMS) will require that the state repay erroneous payments found through the sampled pool of providers, and will not extrapolate data from the sample to the entire universe of physicians who received the higher primary care payment. States with high error rates should submit a plan for corrective action to reduce errors.

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• This FAQ was released as part of a larger set. View the full set. (PDF, 50.64 KB)