Reporting MR Savings in CROWD

11.1.6 - Reporting MR Savings in CROWD (Rev. 89, Issued: 11-26-04, Effective: 12-27-04, Implementation: 12-27-04) Contractors shall report in CROWD only those actual savings that are generated from MR claims review. Include as MR savings the following: • Actual savings that result from all coverage and coding reviews done for MR purposes. Include all benefit category, statutory exclusion and, reasonable and necessary reviews done for MR purposes. Contractors shall not include as MR savings: • Avoided costs (e.g. a reduction in the number of claims submitted, compared to historical patterns, attributed to a new or revised LCD) shall not be considered "savings." • Savings that result from coverage or coding reviews performed at the request of the fraud unit. • Savings that result from any review other than coverage or coding.