QIO Sanction Panel

9015.1.2 – QIO Sanction Panel (Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16) For each violation, the QIO must convene a QIO Sanction Panel to attend a meeting with a practitioner or other person regarding the violation and to make the final QIO finding. The QIO Medical Director and appropriate review department staff should designate the members of the QIO Sanction Panel. The QIO Sanction Panel must consist of a minimum of three physician peer reviewers in addition to the QIO Medical Director and Review Staff (42 CFR §1004.50). The QIO Sanction Panel: • Ensures that violations are reviewed and findings made in accordance with 42 CFR Part 1004, including maintaining proper documentation. • Ensures that the appropriate members participate in the sanction meeting (either in person or via teleconference) with the practitioner or other person. • Oversees the monitoring of the physicians and/or other persons who are under Corrective Action Plans (CAPs). • Reviews the case(s) and prepares the final QIO finding for the report to the Office of Inspector General (OIG), if required. • Communicates with and responds to OIG regarding QIO reports when required.