Updates of Chapter 1, Chapter 2, Chapter 3, Chapter 4, and Chapter 9 in Publication (Pub.) 100-08, Including Complaint ReferralCoordination Between Contractors
The purpose of this Change Request (CR) is to update sections within Chapter 1, Chapter 2, Chapter 3, Chapter 4, and Chapter 9 in Pub. 100-08. The updates in this CR include, but are not limited to, Unified Program Integrity Contractor (UPIC) coordination with the Medicare Administrative Contractors (MAC) for purposes of complaint referrals, guidance regarding inputting suppression and exclusion cases to the Recovery Audit Contractor Data Warehouse (RACDW), and various other minor updates to Pub 100-08. This update does not affect the provider and/or beneficiary populations. Rather, this update is solely related to contractor technical processes and procedures. All updates ensure our contractors have the most recent guidance. This CR does not require Provider Education.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 09, 2024
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.