Quality Improvement Organization Manual (Pub. 100-10), Ch. 9 § 9045.2
OIG Rejection of QIO Recommendations
9045.2 – OIG Rejection of QIO Recommendations
(Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16)
OIG will inform the QIO of the date it received their report and recommendation, review
the report to determine whether the QIO followed the regulatory requirements, and
determine if a violation has occurred (42CFR §1004.100). If OIG decides that a sanction
is not warranted, it notifies the QIO and the affected practitioner or other person and the
licensing board that the recommendation to sanction is rejected(See 42 CFR
§1004.100(c)).