100-08

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)