Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 350

Workload Data Analysis

Last amended: 2019Year: 2019Length: 83 wordsOfficial source
350 - Workload Data Analysis (Rev. 4278, Issued: 04-12-19, Effective: 06-13-19, Implementation: 06-13-19) Data analysis involves collecting relevant data, analyzing the data, identifying trends and aberrancies, and making conclusions based on the data collected. Data analysis should be performed, as needed, at all relevant operational sites to identify inefficiencies or problems with appeals. Within the constraints of the current operating environment, MACs should work to address and resolve concerns. Significant issues should be raised to CMS, preferably through the COR or Contract Manager.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 350: Workload Data Analysis | Justis AI