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