decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Quality Improvement Organizations / OIG Responsibilities
Subscribe or sign in to view the full article.
Article Overview
This article covers the OIG’s responsibilities after receiving a Quality Improvement Organization’s report and recommendation, including review steps, notification requirements, and the general factors considered when determining whether a sanction is warranted. It is relevant to compliance, Medicare oversight, and provider sanctions, and it references the governing federal regulation for this process.
Why This Topic Matters
It helps compliance teams, providers, and auditors understand how sanction recommendations are reviewed and what categories of information may influence the OIG’s decision.
What You Will Learn
- How OIG reviews a Quality Improvement Organization’s report and recommendation
- What general factors may be considered in sanction review
- Which organizations and programs may be involved in the process
- How notification and review responsibilities are described in the governing regulation
Who Should Read This
- Compliance professionals
- Healthcare providers
- Medical coders
- Auditors
- Revenue cycle staff
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com