Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.4

Use of Statistical Sampling for Overpayment Estimation

Last amended: 2019Year: 2019Length: 72 wordsOfficial source
8.4 - Use of Statistical Sampling for Overpayment Estimation (Rev. 906, Issued: 09-26-19; Effective: 01-02-19; Implementation: 01-02-19) This section applies to UPICs, RACs, the SMRC, and MACs (including DME MACs), hereinafter referred to as “contractors.” With regard to RACs and the SMRC, RACs and SMRC are required to receive CMS COR approval through each step of the statistical sampling process as certain steps/requirements may not be applicable or used in all instances.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.4: Use of Statistical Sampling for Overpayment Estimation | Justis AI