US · guidance
CMS Pub. 100-08, ch. 4, § 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.
History
(Rev. 11962; Issued: 04-21-23; Effective: 05-22-23; Implementation: 05-22-23)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
1153ef6c6fa30add738f0c1cc6584e84aa2a54fa9bb1d803bf95f2d70052ccac
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