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PIMR Annual Update

The PIMR system implements the reporting requirements for medical review (MR) included in Publication 100-8 (Program Integrity Manual) Chapter 7 (MR and BI Reports) Sections 1, 5, and 6-10. The system facilitates the management of cost, savings, and workload data concerning the Medicare contractor medical review unit. This change request requires that all carriers and A/B Medicare administrative contractors (A/B MACs) enter information into their shared systems parameter tables to allow collection of information for fee schedule database updates for codes ending in “F” or “T”.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 01, 2008

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.