decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2003 / AB-03-082
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Article Overview
This article explains CMS guidance for reporting Medicare Secondary Payer prepayment and post-payment workload activity within contractor budget and financial systems. It is aimed at intermediaries, carriers, and related Medicare contractors that need to align activity reporting, task tracking, and budget preparation with CMS instructions. The article includes activity code definitions, workload categories, effective dates, and implementation guidance across MSP prepayment, hospital review, recovery, general inquiry, outreach, and debt referral functions.
Why This Topic Matters
It helps contractors report MSP-related workload and costs consistently for budgeting and performance purposes, which supports accurate CMS administration and oversight.
Article Sections
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Subject and purpose
Introduces the purpose of the memorandum and the reporting changes it addresses for MSP workload and budgeting.
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MSP prepayment workload reporting
Summarizes the prepayment activity categories and the broad types of workloads covered for claim processing and related correspondence.
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MSP post payment workload reporting
Summarizes the post-payment activity categories, including recovery, debt collection, general inquiries, and outreach reporting.
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Specific information: MSP ACs, tasks and workload definitions
Provides additional guidance on how the activity codes, tasks, and workload counts are to be reported and maintained in contractor systems.
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FY 04 MSP Prepayment & Postpayment Intermediary Activity Dictionary
Lists the intermediary activity dictionary entries and associated workload definitions for the FY 04 reporting framework.
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FY 04 MSP Prepayment & Post Payment Carrier/DMERC Activity Dictionary
Lists the carrier and DMERC activity dictionary entries and associated workload definitions for the FY 04 reporting framework.
What You Will Learn
- How CMS organized MSP workload reporting across prepayment and post-payment functions.
- Which broad activity categories are included in contractor budget reporting.
- How the FY 04 activity dictionary is structured for intermediary and carrier/DMERC reporting.
- What general categories of workload and task reporting are addressed for MSP functions.
- The effective and implementation timing for the memorandum.
Who Should Read This
- Medicare intermediaries
- Medicare carriers
- DMERC contractors
- CMS regional office staff
- Medicare Secondary Payer program staff
- Contractor budgeting and financial management staff
Codes Discussed
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