Quality Improvement Organization Manual (Pub. 100-10), Ch. 9 § 9015.1.3
Use of CMS-Designated Case Review System
9015.1.3 – Use of CMS-Designated Case Review System
(Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16)
Pursuant to the contract between the QIO and CMS, QIOs are required to use the CMS-
designated case review system to record all data/information collected at the time a
determination for sanction activity is obtained, using the designated Sanction Activity
Module. Data entry should be completed as each step in the sanction process occurs. The
QIOs will refer to the appropriate Case Review System User’s Guide for instructions as
directed by CMS.