Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.2.1
Reporting LPET Workload and Cost Information and
11.2.1 - Reporting LPET Workload and Cost Information and
Documentation in CAFM II
(Rev. 10365; Issued: 10-02-20; Effective: 08-27-20; Implementation: 08-27-20)
Workload information and associated workload cost information shall be maintained and
documented on site by all contractors. Each site shall maintain records of its own
workload information and associated workload cost information. Contractors shall be
able to provide this information upon request from RO and/or CO. Site-specific workload
and cost information should be reported in the remarks section of CAFM II. With RO
consent, this information may be submitted by other means with an indication made in
the remarks section of the CAFM II IER report.
The contractors' LPET workload records shall include workload information captured by
the Interim Expenditure Report (IER). Only costs (direct, indirect, overhead) incurred in
LPET activities are reported in CAFM II activity codes. Analysis of the data to develop
and deliver LPET interventions shall be reported in an associated LPET activity code.
Contractors are responsible for ensuring the accuracy of the information contained in
CAFM II. The contractor shall alert the RO (for UPICs, the GTL, Co-GTL, and
SME) to any software or hardware problems that hinder the contractor's ability to
report accurate data on CAFM II.
Since LPET is related to medical review activities, Joint Operating Agreements between
Unified Program Integrity Contractors (UPIC) and Affiliated Contractors (AC) should
reflect proportionate allocation of tasks delineated to MR and LPET. When negotiating
Joint Operating Agreements, the UPICs should be cognizant of their task order.