Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.2.2.17

Provider Compliance Group Directed Reviews

Last amended: 2016Year: 2016Length: 53 wordsOfficial source
7.2.2.17 - Provider Compliance Group Directed Reviews (Rev. 642, Issued: 02-22-16, Effective: 02-16-16, Implementation: 02-16-16) Includes only those Medical reviews and special studies directed by or directly supporting action requested by the Provider Compliance Group (PCG). Contractors shall only count workload under this category as directed or requested by PCG and their COTR.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.2.2.17: Provider Compliance Group Directed Reviews | Justis AI