decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / Adding_New_Skip_Factors
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Article Overview
This Program Integrity Module memo describes the workflow for adding new skip factors through the PIMB transaction. It is relevant to users who maintain Medicare contractor claim-sampling settings and need to understand the screen sequence, field entry, and general categories supported by the module.
Why This Topic Matters
Operational guidance like this helps staff maintain sampling configuration accurately within the Program Integrity Module and understand which category types are available when adding new entries.
Article Sections
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Accessing the PIMB transaction and Skip Factors menu
Introduces the menu path used to reach the skip factors area of the Program Integrity Module and the basic screen layout.
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Entering a new skip factor record
Covers the general entry sequence for adding a new record and selecting the appropriate category type in the module.
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Category type selection and completion steps
Describes the available category type choices and the final review, update, and exit actions in the workflow.
What You Will Learn
- How to access the Skip Factors area in the Program Integrity Module
- Which general category types are available when adding a skip factor
- How the module workflow progresses from selection to update and exit
- How the memo frames the process for maintaining claim-sampling settings
Who Should Read This
- Medicare contractor operations staff
- Program Integrity Module users
- Medical coding and compliance support personnel
- Claims administration staff
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