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What sampling units should be included in the population?

April 26, 2017included population Sampling units

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What sampling units should be included in the population?

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The reviewer determines the sampling unit, keeping in mind that the sampling unit chosen should be consistent with the objective of the Claims Review. For example, if the objective is to examine only a certain type of service, sampling units for other types of services should not be included in the population. Further, only services for which the provider has submitted a bill/claim AND has received reimbursement (full or partial) should be included in the population.