Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.2.2.1

One-on-One Provider Education Workload and Cost (Activity

Last amended: 2004Year: 2004Length: 199 wordsOfficial source
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.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.2.2.1: One-on-One Provider Education Workload and Cost (Activity | Justis AI