Workload Reporting Tables

7.1.2.6.1.1 – Workload Reporting Tables (Rev. 721; Issued: 06-09-17; Effective: 07-11-17; Implementation: 07-11-17) The following tables shall be included in the IPRS: Medical Review Program Workload A/B MAC and HHH MAC Statement of Work (SOW) MR Activity Part A Projected Workload for this Period of Performance Part B Projected Workload for this Period of Performance Home Health Projected Workload for this Period of Performance Hospice Projected Workload for this Period of Performance C.5.12.1.6 Defending MR Decisions at ALJ Hearings C.5.12.2.1 Automated Medical Review C.5.12.2.2 Non-Medical Record Review C.5.12.2.3 Demand Bill Claims Review C.5.12.2.4 Medical Record Review Reopening C.5.12.2.5 Prepay Provider Specific Medical Record Review C.5.12.2.6 Prepay Service Specific Medical Record Review C.5.12.2.7 Prepay Probe Provider Specific Medical Record Review C.5.12.2.8 Prepay Probe Service Specific Medical Record Review C.5.12.2.10 Postpay Probe Provider Specific Medical Record Review C.5.12.2.11 Postpay Probe Service Specific Medical Record Review C.5.12.2.12 Postpay Provider Specific Medical Record Review Statement of Work (SOW) MR Activity Part A Projected Workload for this Period of Performance Part B Projected Workload for this Period of Performance Home Health Projected Workload for this Period of Performance Hospice Projected Workload for this Period of Performance C.5.12.2.13 Postpay Service Specific Medical Record Review C.5.12.2.17 Externally Directed Reviews C.5.12.2.18 Provider compliance Group Directed Reviews C.5.12.2.20 One on One Education Medical Review Program Workload DME MAC SOW MR Activity Projected workload for this Period of Performance 4.7.1 Automated Medical Review 4.7.2 Non-Medical Record Review 4.7.3 Demand Bill Claims Review 4.7.4 Medical Record Review Reopening 4.7.5 Prepay Provider Specific Medical Record Review 4.7.6 Prepay Service Specific Medical Record Review 4.7.7 Prepay Probe Provider Specific Medical Record Review 4.7.8 Prepay Probe Service Specific Medical Record Review 4.7.10 Postpay Probe Provider Specific Medical Record Review 4.7.11 Postpay Probe Service Specific Medical Record Review 4.7.12 Postpay Provider Specific Medical Record Review 4.7.13 Postpay Service Specific Medical Record Review 4.7.17 Externally Directed Reviews 4.7.18 Provider Compliance Group Directed Reviews 4.7.22 One on One Education 4.12 Defending MR decisions at ALJ Hearings