Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 30
Data Collection Requirements
30 - Data Collection Requirements
(Rev. 4, 10-01-01)
A provider paid by Medicare on a reasonable cost basis which furnishes services to the
Medicare HMO/CMP enrollees under an arrangement whereby the HMO/CMP pays the
provider directly is required to maintain separate statistics for the HMO/CMP’s Medicare
enrollees. These statistics will be maintained in such type, detail, and form as required for
the provider’s other Medicare patients. Separate statistics must be accumulated for each
HMO/CMP with which the provider has an agreement to have payment made directly by
the organization.