Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.2
Reporting MR Workload and Cost Information and
11.1.2 –Reporting MR Workload and Cost Information and
Documentation in CAFM II
(Rev. 10365; Issued: 10-02-20; Effective: 08-27-20; Implementation: 08-27-20)
Workload information and associated workload cost information shall be maintained and
documented on-site by all MR contractors. Each site shall maintain records of its own
workload information and associated workload cost information. Contractors shall be
able to provide this information upon request from RO and/or CO. Site-specific
workload and cost information shall be reported in the remarks section of CAFM II. With
RO consent, this information may be submitted by other means with an indication made
in the remarks section of the CAFM II IER report.
The MR strategy shall include a section that describes the process used to monitor
spending in each activity code. The process shall ensure that spending is consistent with
the allocated budget and includes a process to revise the plan when spending is over or
under the budget allocation. In addition, the strategy shall describe how workload for
each activity code is accurately and consistently reported. The workload reporting
process shall also assure proper allocation of employee hours required for each activity.
Contractor’s MR workload records shall include workload information captured by the
Interim Expenditure Report (IER). Only costs (direct, indirect, overhead) incurred to
support MR activities are reported on the MR line. Contractors are responsible for
ensuring the accuracy of the information contained in CAFM II. The contractor shall alert
the RO (for UPICs, the GTL, Associate GTL, and SME) to any software or hardware
problems that hinder the contractor’s ability to report accurate data in CAFM II. The
contractor should cc MROperations@CMS.HHS.gov.