Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 230.1

Classification of Claims for Counting

Last amended: 2010Year: 2010Length: 71 wordsOfficial source
230.1 - Classification of Claims for Counting (Rev. 175, Issued: 10-28-10, Effective: 04-01-11, Implementation: 04-04-11) Claims data entered on the performance report represent counts of claims (real and replicate). (See the Medicare Claims Processing Manual, Publication 100-04, Chapter 1, Section 70.8.2, for a definition of replicate claims). It includes in column (1) both assigned and unassigned claims. The carrier reports assigned claims in column (2) and unassigned claims in column (3).
Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 230.1: Classification of Claims for Counting | Justis AI