CMS Announces Updates to Chapter 15 of the Program Integrity Manual

CMS recently announced updates to Chapter 15 of the Program Integrity Manual. A MLN Matters article was published to provide more information about the upcoming changes. The article is based on Change Request (CR) 7797, which implements changes to Chapter 15 of the Program Integrity Manual (PIM) – Medicare Enrollment. CR 7797 focuses on the reasons for returning CMS-855 applications in Section 15.8.1 and the policies for rejecting CMS-855 applications in Section 15.8.2 of the PIM. Changes are effective May 14, 2012. For more information view the MLN Matters Article (PDF, 96 KB).

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