Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.2

Routine Review Workload and Cost (Activity Code 21002)

Last amended: 2005Year: 2005Length: 108 wordsOfficial source
11.1.3.2 - Routine Review Workload and Cost (Activity Code 21002) (Rev. 130, Issued: 11-10-05, Effective: 10-01-05, Implementation: 12-12-05) Contractors shall report all costs associated with routine reviews in Activity Code 21002. Costs associated with collecting an overpayment shall not be reported to this activity code. In the workload section of CAFMII, Activity Code 21002, report the number of claims reviewed in Workload 1. Contractors shall report number of claims denied in whole or in part in Workload 2. Include those post payment claims where no documentation was received in workload 2. Report the number of providers subject to routine review in Workload 3. (IOM Pub 100-08, ch.3 §3.4.5.)
Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.2: Routine Review Workload and Cost (Activity Code 21002) | Justis AI