Completing the Audit Selection Criteria Report (ASCR) - (Rev. 1,

310 - Completing the Audit Selection Criteria Report (ASCR) - (Rev. 1, 08-30-02) A1-1271 A. General Instructions Contractor shall use the report to show all the provider cost reports from high to low, by Medicare dollars at risk. The ASCR will be extracted from the System Tracking for Audit and Reimbursement (STAR) and submitted to the CMS BPO Bulletin Board 30 days after the end of the fiscal year, i.e., October 30. B. Specific Instructions The contractor shall complete the columns on the ASCR as follows: • Provider Number - It shall enter provider's number; • FYE - It shall enter provider's year end; • Provider Type - It shall enter appropriate STAR code and appropriate audit selection criteria (ASC) code(s); • POA Code - Indicates the designated activity; (P) problem resolution, (O) on-site review, or (A) audit. A blank indicates desk reviewed only. • Medicare Dollars Claimed - It shall enter the Medicare dollars claimed from the audited cost report. Use DRG column for DRG and outlier benefit payments. It shall use pass-through column for PPS pass-through costs, and Cost-Based column for all other provider costs claimed; • Utilization - It shall enter days or visits, as appropriate, for the total patient population and for the Medicare population. It shall indicate the percent of Medicare utilization; • Notice of Amount of Program Reimbursement (NPR) Date - It shall enter date of NPR; and • Cost Savings/Dissavings - It shall enter the dollar amount of adjustments to payment as a result of the NPR.