Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.2.1

Reporting LPET Workload and Cost Information and

Last amended: 2020Year: 2020Length: 249 wordsOfficial source
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.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.2.1: Reporting LPET Workload and Cost Information and | Justis AI