Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 210.2
Checking Report
210.2 - Checking Report
(Rev. 6, 08-30-02)
B3-13312.2
Before transmitting the report to CMS CO, the carrier checks it for completeness and arithmetical
accuracy. It uses the following checklist:
• Total All States, line 1, equals the sum of lines 2-20 for columns 2, 3, 4, 6, 7, and 8.
• For all lines, column 3 must be equal to or less than column 2.
• For all lines, column 4 must be equal to or less than column 2.
• For all lines, column 6 must be equal to or less than column 2.
• For all lines, column 7 must be equal to or less than column 2.
• For all lines, column 8 must be equal to or less than column 7.
• Line 1, column 2, page 8 must be greater than or equal to line 38, column 1, page 9 of the
CMS-1565 submitted by the carrier for the same month.
• Line 1, column 3, page 8 must be greater than or equal to the sum of lines 1-35, column 1,
page 9 of the CMS-1565 that the carrier submit for the same month.
• Line 1, column 4, page 8 must be greater than or equal to line 36, column 1, page 9 of the
CMS-1565 that the carrier submit for the same month.
• Line 1, column 6, page 8 must be greater than or equal to line 38, column 6, page 9 of the
CMS-1565 that the carrier submit for the same month.
• Line 1, column 7, page 8 must be greater than or equal to line 38, column 2 plus column 4,
page 9 of the CMS-1565 that the carrier submit for the same month.