Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.8

Complex Probe Review Workload and Costs (Activity Code

Last amended: 2005Year: 2005Length: 77 wordsOfficial source
11.1.3.8 - Complex Probe Review Workload and Costs (Activity Code 21220) (Rev. 130, Issued: 11-10-05, Effective: 10-01-05, Implementation: 12-12-05) Report all costs associated with complex probe review in Activity Code 21220. In the workload section of CAFM II, Activity Code 21220, report the number of claims reviewed in Workload 1. Report the number of claims denied in whole or in part in Workload 2. Report the number of providers subject to complex probe review in Workload 3.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.8: Complex Probe Review Workload and Costs (Activity Code | Justis AI