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Medicare Program Integrity Manual



(Rev. 72, 04-16-04)
Manual Transmittals through Transmittal Number 72 dated April 16, 2004, are included in this update. As new transmittals are included they will be identified on this page. To review individual transmittal cover pages, click here.



Table of Contents
Chapter Title IOM Manual PDF File Zipped Word File
1 Overview of Medical Review (MR), Benefit Integrity (BI) and Local Provider Education and Training (LPET) Programs Link to Chapter 1 Adobe pdf file, 152KB152KB Link to Chapter 1 zipped Word file, 31KB31KB
2 Data Analysis Link to Chapter 2 Adobe pdf file, 59 KB59KB Link to Chapter 2 zipped Word file, 18 KB18KB
3 Verifying Potential Errors and Taking Corrective Actions Link to Chapter 3 Adobe pdf file, 479KB479KB Link to Chapter 3 zipped Word file, 121 KB121KB
4 Benefit Integrity Link to Chapter 4 Adobe pdf file, 718KB718KB Link to Chapter 4 zipped Word file, 171 KB171KB
5 Items and Services Having Special DME Review Considerations Link to Chapter 5 Adobe pdf file, 124KB124KB Link to Chapter 5 zipped Word file,27KB27KB
6 Intermediary MR Guidelines for Specific Services Link to Chapter 6 Adobe pdf file, 227 KB227KB Link to Chapter 6 zipped Word file,41KB41KB
7 MR Reports Link to Chapter 7 Adobe pdf file, 2111KB2111KB Link to Chapter 7 zipped Word file,149KB149KB
8 Reserved for Future Use Link to Chapter 8 Adobe pdf file, 13KB13KB Link to Chapter 8 zipped Word file,3KB3KB
9 Reserved for Future Use Link to Chapter 9 Adobe pdf file, 31KB31KB Link to Chapter 9 zipped Word file, 4KB4KB
10 Healthcare Provider/Supplier Enrollment Link to Chapter 10 Adobe pdf file, 749KB749KB Link to Chapter 10 zipped Word file,158KB158KB
11 Fiscal Administration Link to Chapter 11 Adobe pdf file, 114KB114KB Link to Chapter 11 zipped Word file, 16KB16KB
12 Carrier, DMERC, FI and full PSC Interaction with the Comprehensive Error Rate Testing Contractor Link to Chapter 12 Adobe pdf file, 82KB82KB Link to Chapter 12 zipped Word file, 21KB21KB
13 Local Medical Review Policy Link to Chapter 13 Adobe pdf file, 198KB198KB Link to Chapter 13 zipped Word file, 52KB52KB
Exhibits   Link to Exhibits Adobe pdf file, 1655KB1655KB Link to Exhibits zipped Word file, 299KB299KB
Archive      


Link to One Time Notifications Page One Time Notifications

Link to Business Requirements page Business Requirements


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Last Modified on Thursday, September 16, 2004  
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