Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 150
Letter-Of-Credit Check List
150 - Letter-Of-Credit Check List
(Rev. 158, Issued: 09-25-09, Effective: 10-26-09, Implementation: 10-26-09)
FORM NAME
DUE DATE
Intermediary Benefit Payment Report,
CMS-456
Monthly - within 20 working days after the
end of the reporting month.
Payment voucher on Letter-of-Credit
Transmittal - CMS-1521
Monthly - within 15 days after the end of
the reporting month.
Monthly Intermediary Financial Report,
CMS-1522
Same as above
Banking Schedules,
Schedule of Itemized Bank Services
Provided Report and Recap of Daily
Available Balances
Monthly - within 15 days after the end of
the reporting month