Checking Reports Prior to Submittal to CMS

190 - Checking Reports Prior to Submittal to CMS (Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24) B3-13310 Prior to transmitting performance reports to CMS the carrier checks for the following: • Completeness; • Accuracy; and • Internal consistency. It uses the following checklists to assure accuracy and consistency: A. Page One of Report (CROWD Form B) • Line 1 of current report must be equal to line 17 of previous report for all columns; Line 1 + Line 2 = Line 3 for all columns; • Line 4 - Line 5 = Line 6 for all columns; • Line 7 should be equal to or less than Line 6 for all columns; • Line 9 + Line 10 + Line 11 = Line 8 for all columns; • Line 13 + Line 14 = Line 12 for all columns; • Line 8 + Line 12 = Line 15 for all columns; • Line 3 + Line 6 - Line 15 = Line 17 for all columns; • For each line of this page (except for lines 16, 28, 29 and 30), column 1 must equal the sum of columns 2 and 3; • Line 16 should be equal to or less than Line 15 for column 1; • Lines 18 + 19 + 20 + 21 + 22 = Line 17 for all columns; • Lines 25 + 26 + 27 = Line 24 for all columns; and • Line 29 should be equal to or less than line 28. B. Pages Two through Eleven (CROWD Forms T and E) • For each of lines 1-38 on pages 2-9, column 1 = column 2 + 3 + 4 + 5; • For each of lines 1-38 on pages 2-9, column 6 must be equal to or less than column 1; • The sum of lines 1-37 must be equal to line 38 for all columns; • Each data item on page 9, lines 1-38 = the sum of the corresponding data items on pages 2- 7; • Each data item on page 8, lines 1-38, must be equal to or less than the corresponding data item on page 2; • For each of lines 1-38 on pages 10 and 11, column 1 must be less than or equal to column 2 on pages 8 and 9, respectively; • For each of lines 1-38 on pages 10 and 11, column 2 must be less than or equal to column 3 on pages 8 and 9, respectively; and • For each of lines 1-38 on pages 10 and 11, column 3 must be less than or equal to column 4 on pages 8 and 9, respectively. C. Page Twelve (CROWD Form V) - • For each line, column 1 = the sum of columns 2 - 7; • For each column, line 1 = the sum of lines 2 - 10; • For each column, line 11 = the sum of lines 12 - 20; and • For each line, column 8 must be equal to or less than column 2. D. Page Thirteen (CROWD Form R) (Inactive) (Line 2 divided by line 3) times 100 = line 4 for all columns.