Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.4
Use of Statistical Sampling for Overpayment Estimation
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.