Purpose and Scope

220.1 - Purpose and Scope (Rev. 6, 08-30-02) B3-13320.1 The Quarterly Supplements to the Carrier Performance Report (Forms CMS-1565A, CMS-1565B, CMS-1565C, CMS-1565D, and CMS-1565E) are the sources of current information on key aspects of carrier Medicare operations. The data, together with information from other sources, are used by CMS for: • Identifying problem areas for resolution; • Measuring trends in reasonable charge reductions, denial rates, and provider participation; Monitoring the workload handled by the carrier’s Medicare Fraud and Abuse unit; • Monitoring activity related to the carrier’s Comprehensive Limiting Charge Compliance Program; and • Monitoring activities dealing with the carrier’s review of incentive payments made to physicians who render covered Medicare services in a rural or urban Health Professional Shortage Area (HPSA). Carrier Instructions