Quality Improvement Organization Manual (Pub. 100-10), Ch. 9 § 9030.2
Requirements for the Meeting
9030.2 - Requirements for the Meeting
(Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16)
The meeting must be held within 30 days of when the QIO received the request, but this
time period may be extended for good cause. The QIO may allow the practitioner or other
person five (5) business days after the meeting to provide additional relevant information
that may affect their finding.
The practitioner or other person has the following rights at the meeting:
• The practitioner or other person may have an attorney present. The attorney, if
present, must be permitted to make opening and closing remarks, ask clarifying
questions, and assist the practitioner or other person in presenting testimony of
expert witnesses who may appear on behalf of the practitioner or other person.
• Three physicians from the QIO Sanction Panel must attend the meeting, in person
or by conference call.
• A verbatim record must be made of the meeting and made available to the
practitioner or other person promptly.
The QIO may also have an attorney present at the sanction meeting, but this is not
required and often is not necessary. The meeting is not a legal hearing but instead a
chance for the involved practitioner to present additional information and seek
clarification.