Update of Chapter 3 in Publication (Pub.) 100-08, Including Update to Medicare Program Integrity Contractor Post-Payment Review Process, and Update of Chapter 8 Pub. 100-08, Including Revision to When Contractor Suspects Additional Improper Claims
The purpose of this Change Request (CR) is to update a section within Chapter 3 in Pub. 100-08. The update in this CR includes updating the Medicare Program Integrity Contractor post-payment review process, specifically advising the contractor to document when they are unable to complete a post-payment medical review in 60 days. Additionally, a section within Chapter 8 in Pub. 100-08 is being revised to remove guidance that is no longer relevant.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 28, 2022
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