Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.2.4
Monthly Reporting of Medical Review Savings
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))