True or False: Underpayments identified during a CIA-Claim Review may be netted from overpayments.

The correct answer is that underpayments identified during a Corporate Integrity Agreement (CIA) Claim Review may be netted from overpayments. This practice is grounded in the principle of ensuring accurate claim submissions and payments in the healthcare industry. When a healthcare provider engages in a Claim Review as part of a CIA, it is often aimed at correcting billing inaccuracies, whether they involve overpayments or underpayments.

By allowing netting of underpayments against overpayments, healthcare organizations can streamline their reconciliation processes and more accurately adjust their financial records. This approach acknowledges that both overpayments and underpayments can occur within claims and provides a pathway for organizations to correct their billing practices without incurring additional penalties or complications.

This practice, however, is typically subject to compliance with specific regulatory requirements and the terms outlined in the CIA. It's essential for organizations to maintain careful documentation and follow prescribed procedures when dealing with claims adjustments to ensure compliance with all applicable laws and regulations.