US · guidance
CMS Pub. 100-06, ch. 3, § 10.1
Aggregate Overpayments
A. Stitutional Providers Serviced By Fis
Aggregate overpayments to providers (overpayments arising in other than individual cases) may occur
by:
• A pattern of furnishing and billing for excessive or noncovered services (see Program Integrity
Manual);
• Inclusion of non-allowable or excessive costs in the provider's cost report;
• Excessive interim payments made to the provider;
• Failure to repay accelerated payments;
• Failure to file cost reports (Chapter 3, §30);or
• Determination of amounts due upon filing the cost report, during desk review, final settlement
and reopening of the cost report.
History
(Rev. 29, 01-02-04)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
f5bdb9d7845608d2c389bdb082c574cec0ccc32889434653617550ba4e18d7b5
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