Medicare Program Integrity Manual (Pub. 100-08), Ch. 1 § 1.8
Medical Review for Program Integrity (MR for PI)
1.8 - Medical Review for Program Integrity (MR for PI)
(Rev. 12772; Issued: 08-09-24; Effective: 09-20-24; Implementation: 09-20-24)
A. Contractors to Which This Section Applies
This section applies to UPICs.
B. General
The goal of the MR for PI is to address situations of potential fraud, waste, and abuse
(e.g., looking for possible falsification).
Information on maintaining the confidentiality of MR documents can be found in
this chapter, section 1.6.