Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.10

Postpay Complex Review Workload and Cost (Activity Code

Last amended: 2004Year: 2004Length: 92 wordsOfficial source
11.1.3.10 - Postpay Complex Review Workload and Cost (Activity Code 21222) (Rev. 89, Issued: 11-26-04, Effective: 12-27-04, Implementation: 12-27-04) Contractors shall report all costs associated with Postpay Complex Review in Activity Code 21222. In the workload section of Activity Code 21222, contractors shall report the total number of claims reviewed on a postpayment basis as Workload 1 and report the total number of claims denied in whole or in part as Workload 2. Report the number of providers subject to postpay complex review in Workload 3. (IOM Pub 100-08, ch. 3. §4.5.)
Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.10: Postpay Complex Review Workload and Cost (Activity Code | Justis AI