Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.2.4

Monthly Reporting of Medical Review Savings

Last amended: 2017Year: 2017Length: 113 wordsOfficial source
7.2.4 - Monthly Reporting of Medical Review Savings (Rev. 721; Issued: 06-09-17; Effective: 07-11-17; Implementation: 07-11-17) The Contractor shall utilize the definitions in their statement of work (SOW) to report those savings resulting from medical review. The report shall be submitted by the 20th day of each calendar month and submitted as a deliverable via the CMS ART portal. The activities and metrics to be reported for calculating Medical Review Savings are detailed in the spreadsheet below. The template, developed by the Provider Compliance Group, includes the formulas required to calculate MR savings and shall not be altered or deviated from. Medical Review Savings Report Template Sample next page. (Medical Record Review (MRR))
Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.2.4: Monthly Reporting of Medical Review Savings | Justis AI