decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / AB-02-008
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Article Overview
This program memorandum from CMS and DHHS addresses reconciliation of the Monthly Contractor Financial Report and the related monthly claims payment activity used by Medicare contractors. It is relevant to reimbursement, claims processing, and financial reporting staff who need to understand the administrative reporting framework, submission timing, and implementation dates discussed in the memo.
Why This Topic Matters
The memo explains reporting expectations that affect contractor accounting workflows, monthly reconciliation processes, and compliance with CMS financial oversight requirements.
Article Sections
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Subject: Form CMS-1522, Monthly Contractor Financial Report, Reconciliation
Introduces the reporting topic and the reconciliation focus of the memorandum. It frames the financial oversight context and the contractor responsibilities addressed in the document.
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Reconciliation process and supporting documentation
Describes the monthly reconciliation framework, the need for documented procedures, and the types of source reports and records involved. It also discusses coordination between claims processing and financial reporting systems.
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Cut-off considerations and timing of benefit payments
Addresses timing issues that can affect month-end reconciliation and reporting. It discusses the importance of aligning processing cut-offs with the reporting period.
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Submission instructions and implementation dates
Provides the submission channels, contact information, and effective and implementation dates for the memorandum. It also notes the discard date and budget-related implementation guidance.
What You Will Learn
- The purpose and scope of the CMS monthly reconciliation requirement
- How the memorandum frames contractor documentation and reporting expectations
- What timing and cut-off issues the memo highlights for monthly reporting
- Where reconciliation submissions are sent and which dates govern implementation
Who Should Read This
- Medicare contractors
- Claims processing staff
- Financial reporting staff
- Healthcare reimbursement administrators
- Compliance and audit personnel
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