Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.2

Reporting MR Workload and Cost Information and

Last amended: 2020Year: 2020Length: 269 wordsOfficial source
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.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.2: Reporting MR Workload and Cost Information and | Justis AI