Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.2.2.1
One-on-One Provider Education Workload and Cost (Activity
11.2.2.1 – One-on-One Provider Education Workload and Cost (Activity
Code 24116)
(Rev. 89, Issued: 11-26-04, Effective: 12-27-04, Implementation: 12-27-04)
Report the costs associated with One-on-One Provider Education in Activity Code 24116.
Written materials, or electronic communications to providers during a One-on-One
Provider Education, shall not be reported in Education Delivered via Electronic or Paper
Media, Activity Code 24118, but included in the cost for One-on-One education. Activity
Code 24116 - One-on-One Provider Education shall capture the one-on-one contact
between the contractor and provider, and the written materials or electronic
communication used to facilitate the one-on-one education. Included in this activity code
would be letters sent to a provider that specifically addresses the medical review findings
and instructions to correct the errors. Any provider contact made solely by paper or
computer, without specifically addressing an individual provider, should not be reported
here. (IOM Pub. 100-08, chapter 1.)
For One-on-One Provider Education, Activity Code 24116, report the number of
educational contacts in Workload 1. Report the number of providers educated in
Workload 2. If a provider sends a representative(s) on his behalf to a one-on-one
educational contact, count the number of provider(s), not representative(s), to whom the
educational activity was directed.