Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.2.2.16
Externally Directed Reviews
7.2.2.16 - Externally Directed Reviews
(Rev. 10365; Issued: 10-02-20; Effective: 08-27-20; Implementation: 08-27-20)
Medical reviews directed by or directly supporting the OIG, law enforcement, UPICs, or
court orders, when funded by CMS.