Medicare Program Integrity Manual Chapter 3 - Verifying Potential Errors and Taking Corrective Actions
Guidance for Medicare Administrative Contractors (MACs), Comprehensive Error Rate Testing (CERT), and Recovery Auditors. This chapter outlines the requirements of contractors to analyze claims to determine provider compliance with Medicare coverage, coding, and billing rules and take appropriate corrective action when providers are found to be non-compliant.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 26, 2020
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