Quality Improvement Organization Manual (Pub. 100-10), Ch. 7 § 7200
Introduction - (Rev. 4, 07-18-03)
7200 - Introduction - (Rev. 4, 07-18-03)
Under your contract with CMS, you are required to conduct medical case review to
determine whether the quality of the services provided meets professionally recognized
standards of care (See 42 CFR 476.71(a)(2)).