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
Medicare Program Integrity Manual (Pub. 100-08), § 4.4: Fraud Referral | Justis AI