Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.5

Policy Reconsideration/Revision Activities (Activity Code

Last amended: 2005Year: 2005Length: 169 wordsOfficial source
11.1.3.5 - Policy Reconsideration/Revision Activities (Activity Code 21206) (Rev. 130, Issued: 11-10-05, Effective: 10-01-05, Implementation: 12-12-05) In an attempt to achieve jurisdictional consistency, multi-state contractors shall develop and revise local policies that apply to all their states. When reporting workload to CAFM II, the contractor shall report just one LCD, even if that policy varies slightly from state to state. Report all costs associated with reconsiderations and revisions to LCD in CAFM II Activity Code 21206. Include reconsideration requests made as a result of IOM Pub.100- 08 ch.13 §13.10. The cost of inputting the LCD into the Fu database shall also be reported here and not in activity code 24118 – Education delivered through electronic or paper media. Report the total number of policies revised or retired in the month it became effective in Workload 1. Report the number of policies revised that required notice or comment as Workload 2. Report the number of policies revised due to an outside request (e.g., beneficiary or provider request) in Workload 3.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.5: Policy Reconsideration/Revision Activities (Activity Code | Justis AI