Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.3.2.3.2

Case Development – Program Integrity

Last amended: 2021Year: 2021Length: 67 wordsOfficial source
8.3.2.3.2 – Case Development – Program Integrity (Rev. 11032; Issued: 09-30-21; Effective: 10-12-21; Implementation: 11-10-21) The UPIC shall enter all payment suspensions into the UCM. In the Suspension Narrative field, the UPIC shall include the items/services affected (i.e., type of item/service and applicable HCPCS/CPT codes). The first monetary entry of money withheld in the UCM shall reflect the money withheld on Day One of the payment suspension.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.3.2.3.2: Case Development – Program Integrity | Justis AI