Updates of Chapter 4 in Publication (Pub.) 100-08, Including Updates to the Recovery Audit Contractor Data Warehouse (RACDW) Process
The purpose of this Change Request (CR) is to revise various sections within Chapter 4 in Pub. 100-08. The revisions include updates to the RACDW process, in addition to inclusion of guidance regarding contractor actions that shall be taken to obtain medical record documentation from Medicare Part C First-tier, Downstream, and Related Entities and non-contracted providers, and guidance regarding contractor review of the Fraud Prevention System (FPS) Rapid Alert Warning (RAW) Dashboards.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 23, 2025
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