Potential Fraud

9.10 - Potential Fraud (Rev. 921, Issued: 11-06-19 Effective: 11-04- 19, Implementation: 11-04-19) The RAC shall refer any claims it determines to be a potentially fraudulent to their CMS COR who will then forward this claim information to the appropriate area within CMS. The RAC shall concurrently refer the claims to the OIG in accordance with the memorandum of understanding (MOU).