US · guidance
CMS Pub. 100-08, ch. 11, § 11.1.3.1
Automated Review Workload and Cost (Activity Code 21001)
Contractors shall report the costs associated with automated review including personnel
to install and activate supplemental edit software in Activity Code 21001. In the
workload section of the CAFM II, Activity Code 21001, contractors shall report the
number of claims denied in whole or in part in Workload 1. To the extent the contractor
can report claims subjected to automated medical review, this number should be reported
in Workload 2. (IOM Pub 100-08, ch.3, §3.4.5.)
History
(Rev. 89, Issued: 11-26-04, Effective: 12-27-04, Implementation: 12-27-04)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e907177b755c2d572c92983c9da40ba140da8acf75165300cbe66508775a3e24
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