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