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Update to Medical Review Instructions for Inpatient Hospital Claims in Chapter 6 of Publication (Pub.) 100-08, Program Integrity Manual (PIM)

The purpose of this Change Request (CR) is to update sections 6.5.1 and 6.5.2, and, also, add Exhibit 48 in Chapter 6 of Pub. 100-08 PIM. These updates will remove the requirement in section 6.5.1 requiring contractors to utilize proprietary screening tools during review of hospital claims and provide minor language updates to section 6.5.2.

Download the Guidance Document

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

Issue Date: September 12, 2025

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.