SUBJECT: Updates of Chapters 4, Chapter 8, and Exhibits in Publication (Pub.) 100- 08, Including Adding Additional Clarification to Ongoing Direction
| CMS Manual System | Department of Health & Human Services (DHHS) | |
| Pub 100-08 Medicare Program Integrity | Centers for Medicare & Medicaid Services (CMS) | |
| Transmittal 12127 | Date: July 21, 2023 | |
| Change Request 13281 |
| R/N/D | CHAPTER / SECTION / SUBSECTION / TITLE | |
| R | 4/Table of Contents | |
| R | 4/4.2/4.2.2/4.2.2.7/Program Integrity Security Requirements | |
| R | 4/4.5/Screening Leads | |
| R | 4/4.8/4.8.3/Congressional Inquiries | |
| R | 4/4.14/Fraud Alerts & HPMS Memos | |
| R | 8/8.3/Suspension of Payment | |
| R | 8/8.3/8.3.2/8.3.2.1/CMS Approval | |
| R | 8/8.3/8.3.3/8.3.3.1/DME Payment Suspensions (MACs and UPICs) | |
| R | 8/8.3/8.3.3/8.3.3.2/Non-DME National Payment Suspensions (MACs and UPICs) | |
| R | 8/8.4/8.4.1/8.4.1.4/Determining When Statistical Sampling May Be Used | |
| R | 8/8.4/8.4.7/8.4.7.1/Recovery From Provider or Supplier | |
| R | 8/8.4/8.4.9/8.4.9.1/Sampling Methodology Overturned | |
| R | Exhibits/Exhibit 1 – Definitions |
See updates to each chapter by using link below https://www.cms.gov/files/document/r12127pi.pdf
Leave a Reply