Medicare Program Integrity Manual (Pub. 100-08), Ch. 6 § 6.1.5

Workload

Last amended: 2017Year: 2017Length: 56 wordsOfficial source
6.1.5 - Workload (Rev. 721; Issued: 06-09-17; Effective: 07-11-17; Implementation: 07-11-17) All Medicare contractors must review some level of SNF PPS bills based on data analysis. These are medical record reviews and should be reviewed by professionals, i.e., at a minimum, by LPNs. Workload projections are to be addressed through the annual Budget Performance Requirements process.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 6 § 6.1.5: Workload | Justis AI