Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 100.10
Benefit Integrity (BI) Function (Summary Level Code 23000) -
100.10 - Benefit Integrity (BI) Function (Summary Level Code 23000) -
(Rev. 1, 08-30-02)
A1-1213.10, B1-4213.10
The Benefit Integrity function includes the costs and workload(s) associated with
receiving and processing complaints or allegations of Medicare fraud and abuse and
maintenance of associated databases. BI also includes self-initiated data analysis to detect
potential fraud and maintenance of associated databases, and the development of cases
for referral or further action. See work specifically required in §3900.