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Reimbursement Guidance. Work Authorization. Purpose. Clarify the Work Authorization Process Understand updates/changes to the Work Authorization Process Understand how to use the 007 AAF. Objectives. Review the work authorization process Explain proper use of Proposed and Contingent Units
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Reimbursement Guidance Work Authorization
Purpose • Clarify the Work Authorization Process • Understand updates/changes to the Work Authorization Process • Understand how to use the 007 AAF
Objectives • Review the work authorization process • Explain proper use of Proposed and Contingent Units • Explain how incomplete or deficient reports are to be handled • Explain use of the new 007 AAF
Definitions • Pre-Approval = Authorization = Pre-Authorization • Work Performance Period = the start and end of a phase or sub-phase; has nothing to do with reimbursement
The Work Authorization Process:“pre-approval” Release Reported Consultant Prepares/edits Scope/AAF and submits to DEQ Consultant/RP And DEQ Sign AAF ! DEQ Assigns PC# and Case Manager DEQ reviews Scope/AAF Work Scope/AAF OK? Consultant/RP and DEQ discuss Work Scope YES • Proceed @ own risk • Discuss with GWM • RP to cover $ NO
Confirmed Release Letters • For combined IA/SCR Reports, DEQ Case Managers will specify a single due date • For separate IA and SCR Reports, DEQ Case Managers will specify separate due dates for the deliverables
AAF Pre-Approval • DEQ & Consultant/RP discuss scope • Consultant/RP develops AAF • DEQ reviews AAF and discusses needed changes w/ consultant/RP • Consultant/RP amends AAF as necessary • DEQ signs AAF and returns to consultant/RP
The Work Authorization Process:“change in work scope” Work Consultant/RP Contacts DEQ Case Manager to Get approval for Additional units Consultant/RP documents Approval! Site Conditions Require Change/Increase In scope Approval received? YES Contingent Units Sufficient? NO • Proceed @ own risk • Discuss with GWM • RP to cover $ NO Work YES
Proposed and Contingent Units • Proposed Units • Units to complete entire work scope • Based upon existing knowledge of site • Contingent Units • Units for reasonable changes to work scope • Changing or unknown site conditions • Circumstances arising during work • Rationale for use must be supported
The Work Authorization Process:“verification” Work NO DEQ Case Manager Conveys Denial info to Consultant/RP Deliverable Complete? Consultant/RP Submits Deliverable & Work-performed AAF to DEQ YES DEQ Case Manager Sends VAAF to DEQ CO DEQ Case Manager Verifies AAF (30 days) DEQ Case Manager Reviews deliverable To Reimbursement
AAF Verification • DEQ Case Managers may request additional documentation • Consultant/RPs must document rationale for contingent unit use • DEQ Case Managers must document rationale for denials (comments field) • DEQ Case Managers have 30 days to complete
Deliverables • Deliverables must be well defined at time of pre-authorization • Deficient deliverables shall be returned for completion – no additional units authorized • Addenda – additional units shall be authorized for expanded/new scope of work
Deficient Reports • Standard and/or requested report items missing with no rationale • Incorrect work, e.g. calculations are wrong, improper well construction, contours are wrong, etc • Poor quality, e.g. illegible, obviously boilerplate (wrong references, not site specific), report is self-contradictory, missing rationale, unsupported conclusions
Deficient Reports (cont) • Supporting documents missing, e.g. analytical reports, manifests, correspondence, access agreements, photos, field logs, etc Incorrect work, e.g. calculations are wrong, improper well construction, contours are wrong, etc. • Incomplete scope of work (field work)
Addenda • New/additional work needed - not in original scope of work • Phased approach being used • Unforeseen circumstances: e.g. undocumented utilities encountered, weather difficulties, land use or planned land use affecting scope of work (use or planned use not in existence before finalizing scope of work)
The 007 AAF • Landscape format • No pre-printed T-Codes • Scope of work broken into Activities • New field order - Code and Description • Separate comment fields
The 007 AAF Monitoring Well Installation M0089 Equip Mob/demob event 1 1 Possible 2nd wk drilling M0123 5 in. mon well inst foot 80 60 4 wells @ 20’/ X001 Titanium Widget unit 1 0 Est. cost = $25
Reimbursement Period AAF Report Writing Lab Invoice Sub-Phase Period Jan Feb Mar Apr May Jun Phase Period
Electronic AAF • Microsoft Excel spreadsheet • Automatically populates code descriptions • Documents tracking of changes • Summarize Total units • Easily emailed
The Work Authorization Process:“Reimbursement” Reject Claim or Request Additional info from Claimant DEQ CO QA/QCs claim Decision From: Verification Claim Complete? Claimant Prepares a Reimbursement Claim Package Process Claim And Yield Decision Claim Passes QA/QC NO NO YES VAAF Received from RO? YES Claimant Submits Claim To DEQ CO Decision Mailed YES NO Return Claim to Claimant Payment
The Work Authorization Process:“Reconsideration” Decision & Conversion ltr To Claimant From: Reimburse- ment Claimant Files Reconsideration Claim & Supporting Docs to DEQ CO (45 days) Analyze Claim, Render a Draft Decision Panel Type? W RO Reviews & Responds to DEQ CO Claimant Receives Claim Decision M Claim Reviewed Panel Convenes & Renders Final Decision DEQ CO copies docs to RO Additional Info Needed? YES Seek Recon? YES Decision Mailed RO Input Needed? YES NO NO NO Payment Stop
Transition to Sub-Phases PSCRMon Sub-Phase Period PSCRMon Sub-Phase Period PSCRMon Sub-Phase Period 198 SCR Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2007