What information should be reported to the OIG in the Claims Review findings, as part of an entitys Annual Report?
The requirements for the Claims Review report are described in detail in the Claims Review Appendix to the CIA. As indicated in the Claims Review Appendix, the Claims Review report must include a description of the claims review methodology, statistical sampling documentation, and the claims review findings (including both narrative and quantitative results).
Related Questions
- What information should be reported to the OIG in the billing review findings, as part of an entitys Annual Report?
- What information should be reported to the OIG in the Claims Review findings, as part of an entitys Annual Report?
- Is there a standard format for submitting the billing review findings to the OIG?
