Document Name Document Type
Form CMS-10913 Medicare Part C UM Audits Form and Instruction
Analysis of Internal Coverage Criteria.xlsx Instruction
CMS-10913 CMS List of Targeted Services CMS List of Targeted Services.docx Form and Instruction
CMS-10913 Medicare PartC UM Audit Protocol Data Request Medicare PartC_UM_AuditProtocolDataRequest.docx Form and Instruction
CMS-10913 Utilization Management Criteria (UMC) Record Layout with Utilization Management Criteria (UMC) Record Layout with Examples.xlsx Form and Instruction
CMS-10913 UMSupplementalQuestions UMSupplementalQuestions.xlsx Form and Instruction
CMS-10913 Medicare Part C UM Root Cause Analysis Medicare Part C UM Root Cause Analysis.xlsx Form and Instruction

            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.