Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 70.2
Checking Reports
70.2 - Checking Reports
(Rev. 6, 08-30-02)
A3-3898.2
Before submitting Form I to CMS, check for completeness and arithmetical accuracy.
Use the following checklist:
• For all columns, line 1 + line 7 + line 8 must be equal to or less than line 1 of
Form C.
• For all columns, line 1A + line 1B + line 1C must equal line 1.
• For all columns, line 1D must be equal to or less than line 1C.
• For all columns, line 2A must be equal to or less than line 1A.
• For all columns, line 2A must be equal to or less than line 2.
• For all columns, line 3A must be equal to or less than line 3.
• For all columns, line 7A must be equal to or less than line 7.
• For all columns, line 8B must be equal to or less than line 8.
• For all columns, lines 3 and 3A must be rounded to whole dollars. NOTE: This
may cause you to force column 1 to equal the sum of columns 2-6.
• For lines 1 through 3A, lines 7 and 7A, and lines 8 and 8B, column 1 must equal
the sum of columns 2-6.
• For columns 4 and 5, line 4 must be equal to or greater than line 1 of Form C.
• For columns 4 and 5, lines 5 through 6A must be equal to or greater than lines 1
through 2A, respectively (e.g., line 5 must be equal to or greater than line 1, line
5A must be equal to or greater than line 1A, etc.).
• For columns 4 and 5, line 5A + 5B + 5C must equal line 5.
• For columns 4 and 5, line 6A must be equal to or less than line 5A.
• For columns 4 and 5, line 6A must be equal to or less than line 6.
• For columns 4 and 5, line 7B must be equal to or greater than line 7A.
• For columns 4 and 5, line 8A must be equal to or greater than line 8.
• For columns 4 and 5, line 5 + line 7B + line 8A must be equal to or less than line 4.