Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.1.2.6.2
Staffing and Workload Management
7.1.2.6.2 - Staffing and Workload Management
(Rev. 599, Issued: 06-26-15, Effective: 12-07-15, Implementation: 12-07-15)
The MACs shall list the number, job titles, and qualifications/credentials of all full-time-
equivalent (FTE) employees. If resources allow, an MR Nurse may be shared with
another functional area, such as claims processing, so long as only the percentage of the
nurses time spent on MR activities is identified in the strategy and accounted for in the
appropriate functional area. For example, if MR agrees to share 0.5 of an FTE with
claims processing to assist with the pricing of Not Otherwise Coded claims, this 0.5 FTE
shall be accounted for in claims processing and not in MR.