MES Certification Navigator
PI2

CMS-Required Outcome

CMS-required outcome

System provides a method for identifying suspected inappropriate services and incorrect billing. *Applicable to CP, E&E, MM

Default metrics
  • Count of algorithms initiated/count state-specified target number of algorithms
  • Number of new algorithms initiated annually (possibly 2 or 3 new initiatives quarterly or annually)
Regulatory sources
  • None cited

Other Program Integrity outcomes