Medicare Program Integrity Manual (Pub. 100-08), Ch. 6 § 6.2.7
Medical Review of Home Health Demand Bills
6.2.7 - Medical Review of Home Health Demand Bills
(Rev. 721; Issued: 06-09-17; Effective: 07-11-17; Implementation: 07-11-17)
As a result of litigation settlements, A/B MACs (A) must perform medical record reviews
on 100% of the home health demand bills.