The table below shows the timeliness targets for the various activities b. Timeliness Targets for involved in processing an FDC. Processing FDCs If the activity is ... Then the timeliness target will be ... intake processing, as within one day of claim receipt. described in M21-1, Part III, Subpart i, 3.B.1 development, as described within 10 days of receipt of a that in M21-1, Part III, Subpart requires scanning (conversion to an i, 3.B.3.a electronic format), or within three days of receipt of a paperless claim that requires no scanning. rating within 10 days of designation as Ready for Decision. award within five days of generation of the rating promulgation/authorization decision. c. Designation The VSCM at each RO and PMCM at each PMC are responsible for of Drop-Off designating drop-off points for FDCs that are awaiting action in the next Points of the claims process. This will ensure speedy identification and retrieval by personnel responsible for handling claims in that next phase. The table below identifies the drop-off points the VSCM and PMCM must designate, and explains how RO personnel must use the drop-off points. As soon as RO personnel must deliver the … corresponding claims folder to a point for FDCs that are awaiting … intake processing is complete the development described in M21-1, Part III, Subpart i, 3.B.3.a. the claim is ready for a a rating decision. decision the rating decision is complete award promulgation/authorization. Before processing FDCs in a and Note: paperless environment, PMCMs must establish electronic work queues that correspond to the physical drop-off points referenced above, and to which users may assign cases that are awaiting action in the next phase of the claims process.
b. Timeliness Targets for Processing FDCs The table below shows the timeliness targets for the various activities involved in processing an FDC. If the activity is ... Then the timeliness target will be ... intake processing, as described in M21-1, Part III, Subpart i, 3.B.1 within one day of claim receipt. development, as described in M21-1, Part III, Subpart i, 3.B.3.a within 10 days of receipt of a that requires scanning (conversion to an electronic format), or within three days of receipt of a paperless claim that requires no scanning. rating within 10 days of designation as Ready for Decision. award promulgation/authorization within five days of generation of the rating decision. c. Designation of Drop-Off Points The VSCM at each RO and PMCM at each PMC are responsible for designating drop-off points for FDCs that are awaiting action in the next of the claims process. This will ensure speedy identification and retrieval by personnel responsible for handling claims in that next phase. The table below identifies the drop-off points the VSCM and PMCM must designate, and explains how RO personnel must use the drop-off points. As soon as … RO personnel must deliver the corresponding claims folder to a point for FDCs that are awaiting … intake processing is complete the development described in M21-1, Part III, Subpart i, 3.B.3.a. the claim is ready for a decision a rating decision. the rating decision is complete award promulgation/authorization. Note: Before processing FDCs in a paperless environment, and PMCMs must establish electronic work queues that correspond to the physical drop-off points referenced above, and to which users may assign cases that are awaiting action in the next phase of the claims process.
1-20-16_Key%20Changes_M21-1III_i_3_SecA.docx