Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 80
Form CMS-1522, Monthly Contractor Financial Report – (Rev. 5,
80 - Form CMS-1522, Monthly Contractor Financial Report – (Rev. 5,
08-30-02)
A1-1412, B1-4412
Form CMS-1522 is designed to provide a reconciliation of Medicare benefit dollars
between CMS, the contractor, and the bank. The contractor shall transmit this report to
CMS by the 15th of each month via the CAFM System.