US · guidance
CMS Pub. 100-08, ch. 11, § 11.1.3.10
Postpay Complex Review Workload and Cost (Activity Code
21222)
(Rev. 89, Issued: 11-26-04, Effective: 12-27-04, Implementation: 12-27-04)
Contractors shall report all costs associated with Postpay Complex Review in Activity
Code 21222. In the workload section of Activity Code 21222, contractors shall report the
total number of claims reviewed on a postpayment basis as Workload 1 and report the
total number of claims denied in whole or in part as Workload 2. Report the number of
providers subject to postpay complex review in Workload 3. (IOM Pub 100-08, ch. 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
7658e8ecbbe4aa149c544f9202aad6494300e9bebfd2076c23ab14be037062c1
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.