CMS Pub. 100-08, ch. 11, § 11.1.3.6

The MR Program Management encompasses managerial responsibilities inherent in

managing the MR program, including: development, modification, and periodic reporting

of MR strategy and quality assurance activities; planning monitoring and adjusting

workload performance; budget-related monitoring and reporting; and implementation of

CMS instructions.

Activity Code 21207 is designed to capture the costs of managerial oversight for the

following tasks:

• Develop and periodically modify MR strategy;

• Develop and modify quality assurance activities, including special studies,

inter- reviewer reliability testing, committee meetings, and periodic reports;

• Evaluate edit effectiveness;

• Plan, monitor and oversee budget, including interactions with contractor

budget staff and RO budget and MR program staff;

• Manage workload, including monitoring of monthly workload

reports, reallocation of staff resources, and shifts in workload focus

when indicated;

• Implement MR instructions from regional and/or central office;

• Educate staff on MR program, new CMS instructions, and quality assurance

findings (this is different from the internal training of MR staff to perform MR

activities); and,

• Support service for UPIC performing MR activities other than for the

CERT contractor.