Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.1

Automated Review Workload and Cost (Activity Code 21001)

Last amended: 2004Year: 2004Length: 93 wordsOfficial source
11.1.3.1 - Automated Review Workload and Cost (Activity Code 21001) (Rev. 89, Issued: 11-26-04, Effective: 12-27-04, Implementation: 12-27-04) Contractors shall report the costs associated with automated review including personnel to install and activate supplemental edit software in Activity Code 21001. In the workload section of the CAFM II, Activity Code 21001, contractors shall report the number of claims denied in whole or in part in Workload 1. To the extent the contractor can report claims subjected to automated medical review, this number should be reported in Workload 2. (IOM Pub 100-08, ch.3, §3.4.5.)
Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.1: Automated Review Workload and Cost (Activity Code 21001) | Justis AI