Medicare Program Integrity Manual (Pub. 100-08), Ch. 3 § 3.6.2

Verifying Errors

Last amended: 2020Year: 2020Length: 67 wordsOfficial source
3.6.2 - Verifying Errors (Rev. 10365; Issued: 10-02-20; Effective: 08-27-20; Implementation: 08-27-20) This section applies to MACs, CERT, and UPICs, as indicated. Understanding the characteristics of the service area of the provider is a key element of claim data analysis. The areas selected for review by the contractor (e.g., providers, services) must be deemed high priority and contractors must be able to document the rationale for selection.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 3 § 3.6.2: Verifying Errors | Justis AI