Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.4.9.2
Revised Initial Determination
8.4.9.2 - Revised Initial Determination
(Rev. 906; Issued: 09-26-19; Effective: 01-02-19; Implementation: 01-02-19)
If the decision on appeal upholds the sampling methodology but reverses one or more of
the revised initial claim determinations, the estimate of overpayment shall be recomputed
and a revised estimation of the overpayment issued.