US · guidance
CMS Pub. 100-08, ch. 8, § 8.4.9
Changes Resulting From Appeals
If the decision issued on appeal contains either a finding that the sampling methodology
was invalid or reverses the revised initial claim determination, the contractor shall take
appropriate action to adjust the estimation of overpayment with the revised input of the
statistical expert who created the initial methodology or the revised input of another
statistical expert supplied by the contractor should the creator of the initial methodology
no longer be available.
History
(Rev. 906; Issued: 09-26-19; Effective: 01-02-19; Implementation: 01-02-19)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
bdce0ef9ea967010b8790d0d700fdfe2f5cee91f91b01e6e81aed624dd072718
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