CMS OPERATING PLAN GLOSSARY

Project XXXX —Prepayment Transportation Audits (Federal Admin – Contracts)

FY 2004
Approved (02/29/04) / FY 2005
President’s
Budget / FY 2005
Component
Request / FY 2006
Component
Request
$1,980 / $1,841 / $2,000 / $2,050

Description: The Travel and Transportation Reform Act of 1998 (PL 105-264) requires agencies to audit transportation bills for accuracy prior to making payment.

Justification: The law now requires agencies to perform this function instead of GSA.

FY 2005:

Performance Goal/Anticipated Accomplishment(including Legislative Initiative): In addition to the Legislative mandate, this initiative also supports the President’s Management Agenda (PMA-03): Financial Management.

Consequences if not funded: CMS would not be in compliance with the law since we do not have the information needed to perform the audits in house. Money will be needed if a Continuing Resolution is enacted. Current period of performance expires on January 15, 2005.

Reason for increased/decreased funding request: We expect the number on invoices to increase.

FY 2006:

Performance Goal/Anticipated Accomplishment(including Legislative Initiative): In addition to the Legislative mandate, this initiative also supports the President’s Management Agenda (PMA-03): Financial Management.

Consequences if not funded: The CMS would not be in compliance with the law since we do not have the information needed to perform the audits in house.

Reason for increased/decreased funding request: We expect the number on invoices to increase.

Project XXXX —Medical Review Training Conferences (Federal Admin - Contracts)

FY 2004
Approved (02/29/04) / FY 2005
President’s
Budget / FY 2005
Component
Request / FY 2006
Component
Request
$90,000 / $83,700 / $83,700 / $83,700

Description: Conferences to provide information and innovative strategies to prevent, detect, and correct problems in the most vulnerable areas of medical review

Justification:

  • National CMD/MR Manager conference provides the opportunity for direct

contact with contractor staff, allows for CMS to directly communicate

programmatic concerns and answer questions in a real time format.

  • CMD Advisory Process Roll-out meetings allow CMS to directly communicate

with contractors.

FY 2005:

Performance Goal/Anticipated Accomplishment(including Legislative Initiative):

Government Performance and Results Act of 1993:

MIP1-05 – Reduce Improper Payments/Medicare Fee-for-Service Program

MIP9-05 – Reduce Medicare Contractor Error Rate

Consequences if not funded:

  • Failure to provide funding will impede CMS’ ability to communicate

with Regional Offices and contractors in a timely and efficient manner.

  • The ability to communicate new programmatic initiatives will be adversely impacted
  • The ability to resolve program concerns and questions will be delayed.

Reason for increased/decreased funding request: Across the board reduction in President’s budget.

FY 2006:

Performance Goal/Anticipated Accomplishment(including Legislative Initiative):

See above.

Consequences if not funded:

See above.

Reason for increased/decreased funding request: No change in funding from FY 2005 to FY2006.

Project XXXX —Provider Enrollment Conference (Federal Admin - Contracts)

FY 2004
Approved (02/29/04) / FY 2005
President’s
Budget / FY 2005
Component
Request / FY 2006
Component
Request
$81,000 / $75,330 / $75,330 / $75,330

Description: The annual conference educates Medicare contractors on current provider enrollment issues and trains them on general enrollment requirements.

Justification:

  • Usage of the Provider Enrollment, Chain and Ownership System (PECOS) will be mandatory for all contractors. Contractor feedback on PECOS from this conference will be critical.
  • This annual conference provides valuable training to all provider enrollment contractors and allows for contractor, regional office and central office interaction.
  • The conference provides central office the opportunity to answer the same question one time instead of multiple times and allows us to receive immediate responses that can affect provider enrollment decisions

FY 2005:

Performance Goal/Anticipated Accomplishment(including Legislative Initiative):

Government Performance and Results Act of 1993:

MIP7-05 – Improve Provider Enrollment Process

Consequences if not funded:

  • Failure to Failure to educate providers on a prospective basis will increase the time, effort and cost dealing with providers on a one-to-one basis.

Reason for increased/decreased funding request: Across the board reduction in President’s budget.

FY 2006:

Performance Goal/Anticipated Accomplishment(including Legislative Initiative):

See above.

Consequences if not funded: See above.

Reason for increased/decreased funding request: No change in funding from FY 2005 to FY2006.

1