Workload Reporting Tables

7.3.2.5.1.1 - Workload Reporting Tables (Rev. 721; Issued: 06-09-17; Effective: 07-11-17; Implementation: 07-11-17) SAR/Medical Review Program Workload A/B MAC and HHH MAC 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 Modifications/ Changes since the previous IPRS C.5.12.1.6 Defending MR Decisions at ALJ Hearings C.5.12.2.1 Automate d 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 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 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 Modifications/ Changes since the previous IPRS Specific Medical Record Review C.5.12.2.8 Prepay Probe Service Specific Medical Record Review C5.12.2.10 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 C.5.12.2.13 Postpay Service Specific Medical Record Review C.5.12.2.17 Externally Directed Reviews 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 Modifications/ Changes since the previous IPRS C.5.12.2.18 Provider Complian ce Group Directed Reviews C.5.12.2.20 One on One Education SAR/Medical Review Program Workload DME MAC SOW MR Activity DME Workload for this Period of Performance DME Budget for this Period of Performance Modifications/ Changes Since the Previous IPRS 4.7.1 Automated Medical Review 4.7.2 Non-Medical Record Review 4.7.3 Demand Bill Claims Review 4.7.4 Medical Review Reopening 4.7.5 Prepay Medical Record Review Provider Specific 4.7.6 Prepay Medical Record Review Service Specific 4.7.7 Prepay Medical Record Review Probe Review Provider Specific 4.7.8 Prepay Medical Record Review Probe Review Service Specific SOW MR Activity DME Workload for this Period of Performance DME Budget for this Period of Performance Modifications/ Changes Since the Previous IPRS 4.7.10 Postpay Medical Record Review Probe Review Provider Specific 4.7.11 Postpay Medical Record Review Probe Review Service Specific 4.7.12 Postpay Medical Record Review Provider Specific 4.7.13 Postpay Medical Record Review Service Specific 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