Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.1.2.6.1

Budget and Workload Management

Last amended: 2015Year: 2015Length: 161 wordsOfficial source
7.1.2.6.1 - Budget and Workload Management (Rev. 599, Issued: 06-26-15, Effective: 12-07-15, Implementation: 12-07-15) The IPRS shall include a section that describes the process used to monitor budget and workload for the MR activities definitions. The process shall ensure that spending is consistent with the allocated budget and include procedures to revise or amend the plan when spending is over or under the budget allocation. The MAC shall have a table in the IPRS identifying the MR workload for the current period of performance. The MAC shall assess the cost effectiveness of each MR activity and appropriateness of each MR activity. The MAC shall determine if the resources required for the planned MR activity can contribute to achieving the reduction of the improper payment error rate. In addition, the IPRS shall describe how workload for each MR activity is accurately and consistently reported. The workload reporting process shall also assure the proper allocation of employee hours required for each MR activity.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.1.2.6.1: Budget and Workload Management | Justis AI