- Publication #
- 100-08
- Title
- Medicare Program Integrity Manual
Downloads
- Chapter 1 - Overview of Medical Review (MR) and Benefit Integrity (BI) Programs [PDF, 201KB]
- Chapter 2 - Data Analysis [PDF, 73KB]
- Chapter 3 - Verifying Potential Errors and Taking Corrective Actions [PDF, 661KB]
- Chapter 4 - Benefit Integrity [PDF, 633KB]
- Chapter 5 - Items and Services Having Special DME Review Considerations [PDF, 250KB]
- Chapter 6 - Intermediary MR Guidelines for Specific Services [PDF, 248KB]
- Chapter 7 - MR Reports [PDF, 4MB]
- Chapter 8 - Administrative Actions and Statistical Sampling for Overpayment Estimates [PDF, 214KB]
- Chapter 9 - Reserved for Future Use [PDF, 30KB]
- Chapter 10 - Medicare Provider/Supplier Enrollment [PDF, 202KB]
- Chapter 11 - Fiscal Administration [PDF, 97KB]
- Chapter 12 - The Comprehensive Error Rate Testing Program [PDF, 87KB]
- Chapter 13 - Local Coverage Determinations [PDF, 232KB]
- Chapter 14 - National Provider Identifier [PDF, 79KB]
- Chapter 15 - Medicare Enrollment [PDF, 1MB]
- Exhibits [PDF, 2MB]