US · guidance
CMS Pub. 100-09, ch. 6, § 30.6.11.4
QCM Calibration
Calibration is a process to help maintain fairness, objectivity and consistency in scoring calls by staff
within one or more PCCs.
MACs shall participate in national QCM calibration sessions organized by CMS. These national
sessions may be held quarterly, with meeting appointments distributed through the PCUG electronic
mailing list as referenced in section10.1. When examples of calls are needed for calibration meetings,
CMS will issue a Technical Direction Letter (TDL) that provides comprehensive instructions on how to
format and submit the calls.
Beyond national requirements, MACs shall conduct their own monthly internal calibration sessions.
For MACs with reviewers at multiple call center locations, all reviewers shall participate in these
monthly calibration sessions to ensure consistency across all sites. PCCs shall maintain detailed written
records of all internal calibration activities for documentation and reference purposes.
History
(Rev. 13683; Issued: 04-08-26; Effective: 05-08-26; Implementation: 05-08-26)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
956cd8733451e53e314f1d9033fd3598fd12ad6c20763bb1f16e65a50305b2e4
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