Medicare Program Integrity Manual (Pub. 100-08), Ch. 1 § 1.3.10
Coordination Among Contractors
1.3.10 – Coordination Among Contractors
(Rev. 10365; Issued: 10-02-20; Effective: 08-27-20; Implementation: 08-27-20)
A. Coordination among MACs and UPICs
The MAC MR staff shall coordinate and communicate with their associated UPIC to
ensure coordination of efforts and to prevent inappropriate duplication of review
activities. At any time, suspicion of fraud should result in referral to the UPIC for
development.
B. Coordination among MACs and the Recovery Auditors
See Pub. 100-06, Financial Management Manual, chapter 4, section 100.1-100.15, for
a description of the coordination efforts between MACs and Recovery Auditors. In
addition, the MACs shall coordinate and communicate with the Recovery Auditors to
get the specifics on Recovery Auditor identified vulnerabilities for use in the MAC’s
data analysis and possible corrective actions.
C. SMRC
The SMRC shall make all recommendations for referrals through their CMS
Contract Officer Representative (COR).