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Implementation of a PIMR Edit Effectiveness Report For Program Safeguard Contractors (PSCs)

CMS has developed a system for the management of cost, savings, and workload data relative to the medical review (MR) unit. Mainly, PIMR data relates to how contractors resolve billing problems. CMS obtains PIMR information through interfaces with the shared systems.
Those interfaces are operated through contractor data centers and Enterprise Data Centers (EDCs) transferring data directly from contractor shared system implementation to the central office computer within 15 calendar days following the end of each month.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 09, 2008

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.