Body of Report (Inactive)

70.9 – Body of Report (Inactive) (Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24) A3-3898.9 Line 1 – Opening Pending – The system will pre-fill the number pending from line 8 of the previous quarter’s report. Line 2 – Adjustments – If it is necessary to revise the pending figure for the close of the previous quarter because of inventories, reporting errors, etc., enter the adjustment on this line. Precede negative adjustments with a minus sign. Line 3 – Adjusted Pending – The system will sum line 1 + line 2 to calculate the adjusted opening pending. Line 4 – Workload Received – The intermediary reports the number of complaints and referrals received in the fraud unit during the reporting period. Line 5 – Total Cleared – The system will sum line 6 + line 7 to calculate the total number of complaints and referrals cleared by the fraud unit during the reporting period. Line 6 – Cleared by Contractor – The intermediary reports the number of complaints and referrals cleared by the fraud unit by means other than referral to the OIG or designated agency. Include those that were: • Closed as not substantive or not a fraud issue. • Closed as not a fraud issue but referred to another contractor component for their review or action. • Closed as not being a fraud issue but referred to an external component other than the OIG. Line 7 – Cleared by Referral – The intermediary reports the number of complaints and referrals that were incorporated into cases referred formally to the OIG or designated agency for action (e.g., sanctions or prosecution). Line 8 – Closing Pending – The system will calculate the closing pending for the quarter by adding line 3 to line 4 and subtracting line 5.