Medicare Program Integrity Manual (Pub. 100-08), § 3.1

Data Files

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3.1-Data Files The CMS has directed the SMRC to perform data analysis activities to support MR and overpayment extrapolation. These activities will require the SMRC to obtain data from various resources, including, but not limited to, CMS’ One Program Integrity (One PI) Shared Systems database, CMS’ National Claims History (NCH) database, and RDW. If data is needed from the UPICs, this will be discussed during the workgroup meeting.
Medicare Program Integrity Manual (Pub. 100-08), § 3.1: Data Files | Justis AI