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Medicare Program Integrity Manual Chapter 8 Administrative Actions and Statistical Sampling for Overpayment Estimates Table of Contents (Rev. 377, 05-27-11) Transmittal for Chapter 8 8.1 Appeal of

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What is program integrity manual?

The program integrity manual is a document that defines the policies and procedures the organization will follow to ensure compliance with laws, regulations, and standards.

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All organizations that participate in government programs or receive government funding are required to file a program integrity manual.

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The program integrity manual should be filled out by designated compliance officers or individuals within the organization who are knowledgeable about the organization's operations and applicable laws and regulations.

What is the purpose of program integrity manual?

The purpose of the program integrity manual is to establish a framework for compliance with laws, regulations, and standards, and to promote ethical behavior and accountability within the organization.

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The program integrity manual should include policies and procedures for areas such as fraud prevention, auditing, monitoring, reporting, and corrective action.

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