Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 60.2
Checking Reports
60.2 - Checking Reports
(Rev. 6, 08-30-02)
A3-3897.2
Before submitting Form C to CMS, check its completeness and arithmetical accuracy.
Use the following checklist:
• For each corresponding type of bill, line 1 (ALL) equals the sum of the number of
bills processed reported on line 12 on the intermediary's monthly workload report
(CROWD Form D) for the 3 months of the reporting period.
• For each column, line 1 (ALL) equals the sum of the lines reported for each State.
• For all lines of the report, column 1 (Total) equals the sum of the items in
columns 2 + 3 + 4 + 5 + 6.
• The State code must be the two-letter postal abbreviation. Use code FO for all
foreign claims not originating from a state, territory, or the District of Columbia.