Skip to main content
U.S. flag

An official website of the United States government

Here’s how you know

Dot gov

The .gov means it’s official.

Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.

The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

CMS.gov Logo White
CMS.gov Logo White

Header

  • Home
  • About CMS
  • Newsroom
  • Archive
  • Help
  • Print

CMS.gov Centers for Medicare & Medicaid Services

Site

  • Medicare
  • Medicaid/CHIP
  • Medicare-Medicaid Coordination
  • Private Insurance
  • Innovation Center
  • Regulations & Guidance
  • Research, Statistics, Data & Systems
  • Outreach & Education

Breadcrumb

  • Back to Internet-Only Manuals (IOMs)

100-08

Publication #
100-08
Title
Medicare Program Integrity Manual

Downloads

  • Chapter 1 - Overview of Medical Review (MR) and Benefit Integrity (BI) Programs (PDF)
  • Chapter 2 - Data Analysis (PDF)
  • Chapter 3 - Verifying Potential Errors and Taking Corrective Actions (PDF)
  • Chapter 4 - Program Integrity (PDF)
  • Chapter 5 - Items and Services Having Special DME Review Considerations (PDF)
  • Chapter 6 - Medicare Contractor Medical Review Guidelines for Specific Services (PDF)
  • Chapter 7 - MR Reports (PDF)
  • Chapter 8 - Administrative Actions and Statistical Sampling for Overpayment Estimates (PDF)
  • Chapter 9 - The Medicare Fee-for Service (FFS) Recovery Audit Program (PDF)
  • Chapter 10 - Medicare Enrollment (PDF)
  • Chapter 11 - Fiscal Administration (PDF)
  • Chapter 12 - The Comprehensive Error Rate Testing Program (PDF)
  • Chapter 13 - Local Coverage Determinations (PDF)
  • Chapter 14 - Reserved for Future Use (PDF)
  • Chapter 15 - Medicare Enrollment (PDF)
  • Chapter 15.4-Processing Guide-855O (PDF)
  • Chapter 15.5-Processing Guide-855R (PDF)
  • Exhibits (PDF)
CMS.gov Logo
A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244 Department of Health and Human Services USA

CMS & HHS Websites [CMS Global Footer]

  • Medicare.gov
  • Medicaid.gov
  • InsureKidsNow.gov
  • HealthCare.gov
  • HHS.gov/Open

Tools [CMS Global Footer]

  • Acronyms
  • Archive
  • Contacts
  • Glossary

Helpful Links [CMS Global Footer]

  • Web Policies & Important Links
  • Careers
  • For Developers
  • Plain Language
  • Privacy Policy
  • Privacy Settings
  • Freedom of Information Act
  • No Fear Act
  • Nondiscrimination/Accessibility
  • HHS.gov
  • Inspector General
  • USA.gov
  • Help with file formats & plug-ins
Email Icon

Receive Email Updates

 

Connect with CMS

  • Twitter link
  • Youtube link
  • Facebook link
  • Linkedin link
  • RSS Feed link