Medicare Program Integrity Manual (Pub. 100-08), § 4.4
Fraud Referral
Length: 79 wordsOfficial source
4.4-Fraud Referral
The SMRC will document their findings in a standard format, and, when appropriate, refer the case
to the Center for Program Integrity (CPI)/Unified Program Integrity Contractor (UPIC) for
development through the current process in place with CMS. The SMRC will remain accessible to
the referral agency to facilitate their investigation, and to prepare potential cases for litigation or
prosecution. SMRC referrals to UPIC xx of potential fraudulent activities should be sent to the
UPIC xx at: UPICxxLead@admedcorp.com