Medicare Program Integrity Manual updates re: UPIC and I-MEDIC Medical Review Processes (6/20)

By CMS - June 18, 2020

SUBJECT: Updates to Chapters 4, 6, and 8 of Publication (Pub.) 100-08

I. SUMMARY OF CHANGES: The purpose of this Change Request (CR) is to update various sections within Chapters 4, 6, and 8 in Pub. 100-08

A. Background: The CMS is making revisions to Chapters 4, 6, and 8 in Pub. 100-08 based on updates to Unified Program Integrity Contractor (UPIC) and Investigations Medicare Drug Integrity Contractor (I-MEDIC) processes and procedures.

B. Policy: The CR does not involve any legislative or regulatory policies.

EFFECTIVE DATE: July 21, 2020 *Unless otherwise specified, the effective date is the date of service.

IMPLEMENTATION DATE: July 21, 2020