US · guidance
CMS Pub. 100-06, ch. 6, § 70.8
Type of Fraud Workload Item (Inactive)
A3-3898.8
The intermediary reports fraud workload items in the following columns for all lines of
Form M:
Column (1) – Total – All fraud workload items.
Column (2) – Beneficiary Complaints – The intermediary reports the number of
complaints received from, or on behalf of, beneficiaries alleging fraud. Do not include
complaints filed with the Office of the Inspector General (OIG) Hotline.
Column (3) – OIG Hotline – The intermediary reports the number of complaints
received via the OIG Hotline.
Column (4) – Referrals and Other – The intermediary reports referrals and any other
workload received by the fraud unit (e.g., provider complaints, internally generated
referrals from medical review, special requests from OIG or CMS).
History
(Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
b48572f08b438c706d5d07eeb6788ab08c8a76fb1a460000b82df0fc05393ef8
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