Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 100.8
Medical Review (MR) Function (Summary Code 21000) - (Rev.
Length: 59 wordsOfficial source
100.8 - Medical Review (MR) Function (Summary Code 21000) - (Rev.
1, 08-30-02)
A1-1213.8, B1-4213.8
MR is the efforts taken to prevent, identify, and address claim errors made by providers
including manual or automated review of claims to ensure that payments are made for
services that are covered and correctly coded. (For further information see the Program
Integrity Manual)