Medicare Program Integrity Manual (Pub. 100-08), Ch. 1 § 1.8

Medical Review for Program Integrity (MR for PI)

Last amended: 2024Year: 2024Length: 70 wordsOfficial source
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.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 1 § 1.8: Medical Review for Program Integrity (MR for PI) | Justis AI