Publication #
100-08
Title
Medicare Program Integrity Manual
Downloads
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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)