Medicare Financial Management Manual (Pub. 100-06), Ch. 2 § 30

Contractors Performing Services for Other Medicare Contractors -

Last amended: 2002Year: 2002Length: 141 wordsOfficial source
30 - Contractors Performing Services for Other Medicare Contractors - (Rev. 2, 08-30-02) A1-1302, B3-4302 When services such as provider audit, EDP processing, bill/claims processing, and appeals are performed by a Medicare contractor for another Medicare contractor, the receiving contractor shall report costs as subcontract costs. It shall not include the productive hours associated with the subcontract costs on the Activity Form. See Chapter 1, §210. The Blue Cross and Blue Shield Association (BCBSA) performs most of the Plan PRRB appeal activity. However, some Plans still maintain their own Provider Reimbursement Review Board (PRRB) representation and may require BCBSA assistance periodically. If a Blue Cross Plan requests the assistance of the BCBSA in connection with a specific PRRB appeal, BCBSA invoices the Plan for the cost and is paid by the Plan and the standard procedures for reporting costs are followed.
Medicare Financial Management Manual (Pub. 100-06), Ch. 2 § 30: Contractors Performing Services for Other Medicare Contractors - | Justis AI