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Quality Improvement Organization Manual Chapter 4 - Case Review
Guidance for 4040 - Hospital and Medicare + Choice Organization (M+CO) Notices of Non-coverage; 4050 - Hospital-requested Higher-weighted Diagnosis Related Groups (DRG) Assignments; and 4060 - Potential Concerns Identified During Project Data Collection (PDC).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 10, 2014
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.