Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.4.4.4.1
Documentation of Universe and Sampling Frame
8.4.4.4.1 - Documentation of Universe and Sampling Frame
(Rev. 11962; Issued: 04-21-23; Effective: 05-22-23; Implementation: 05-22-23)
An explicit statement of how the universe is defined and elements included shall be made
and maintained in writing. Further, the sampling frame and specific details as to the
period covered, definition of the sampling unit(s), identifiers for the sampling units (e.g.,
claim numbers, carrier control numbers), and dates of service and source shall be
specified and recorded in the contractor’s record of how the sampling was done. If the
sampling frame does not contain the elements used to define the universe because the
sampling unit does not permit it, then an electronic copy of the universe will be kept by
the contractor.
A record shall be kept of the random numbers used (if used) in the sample and how they
were selected. Documentation shall be kept in sufficient detail so that the sampling
frame can be re-created should the methodology be challenged. The contractor shall keep
an electronic copy of the sampling frame.