Type of Fraud Workload Item (Inactive)

70.8 – Type of Fraud Workload Item (Inactive) (Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24) A3-3898.8 The intermediary reports fraud workload items in the following columns for all lines of Form M: Column (1) – Total – All fraud workload items. Column (2) – Beneficiary Complaints – The intermediary reports the number of complaints received from, or on behalf of, beneficiaries alleging fraud. Do not include complaints filed with the Office of the Inspector General (OIG) Hotline. Column (3) – OIG Hotline – The intermediary reports the number of complaints received via the OIG Hotline. Column (4) – Referrals and Other – The intermediary reports referrals and any other workload received by the fraud unit (e.g., provider complaints, internally generated referrals from medical review, special requests from OIG or CMS).