decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-70
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Article Overview
This program memorandum explains the HCFA workflow for coordinating with a Program Safeguard Contractor on Corporate Integrity Agreement-related reviews. It is relevant to Medicare carriers, fiscal intermediaries, and program integrity staff who may be contacted for documentation, coordination, and follow-up related to provider compliance and billing review activities.
Why This Topic Matters
It helps affected Medicare administrative staff understand how to respond when a contractor review involves Corporate Integrity Agreement oversight and related claims review coordination.
What You Will Learn
- The purpose of the Program Safeguard Contractor task order for Corporate Integrity Agreement reviews
- How coordination between contractors, regional offices, carriers, and fiscal intermediaries is organized
- What kinds of administrative information may be requested during a review
- General timing, confidentiality, and follow-up expectations for the workflow
- Effective and implementation dates associated with the memorandum
Who Should Read This
- Medicare carriers
- Fiscal intermediaries
- Regional office staff
- Program integrity staff
- Provider administrative contacts
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