QIO Recommendation Report Requirements

9045.1.2 – QIO Recommendation Report Requirements (Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16) The QIO report must specify: 1. Sanction recommended; 2. Amount of monetary penalty recommended, if applicable; 3. Period of exclusion recommended, if applicable; 4. Availability of alternative sources of services in the community, with supporting information; and 5. County or counties in which the practitioner or other person furnishes services. NOTE: The QIO’s recommendation to OIG must be based on documentation of the type of offense involved, the severity of the offense, the deterrent value of the recommended sanction, a consideration of the practitioner’s or other person’s previous sanction record, the availability of alternative sources of services in the community, and any other factors that it considers relevant such as the duration of the problem. (See 42 CFR §1004.90.)