Monthly PRO Adjustment Bill Report (Inactive)

40 - Monthly PRO Adjustment Bill Report (Inactive) (Rev. 175, Issued: 10-28-10, Effective: 04-01-11, Implementation: 04-04-11) The intermediary prepares and submits to CMS, by the 10th of each month following the reporting month, a PRO Adjustment Bill Report using the CROWD system. It submits a total page showing contractor activity for all PROs in the contractor’s area. In addition, it submits a separate report for each PRO/State. For example, if the intermediary handles adjustment records for a PRO involving separate States, it should submit a separate report for each State. It reports all tape adjustment requests as well as hardcopy adjustment request records which the PRO has designated XXP (where XX is a two-digit numeric identifier) in accordance with the Medicare Claims Processing Manual, Chapter 4, Outpatient Billing. If the intermediary does not have activity for a certain PRO/State combination in a month, it shall not submit a report.