Applicable reconciliation occurs on the date of the annual final deadline for risk adjustment data submission described at § 422.310(g) , which is announced by CMS each year.
Funds means any payment that an MA organization has received that is based on data submitted by the MA organization to CMS for payment purposes, including § 422.308(f) and § 422.310 .
Overpayment means any funds that an MA organization has received or retained under title XVIII of the Act to which the MA organization, after applicable reconciliation, is not entitled under such title.
42 C.F.R. §422.326