Quality Improvement Organization Manual (Pub. 100-10), Ch. 9 § 9050.3.1
Written Notice Contents – Specifications
9050.3.1 – Written Notice Contents – Specifications
(Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16)
The notice must specify: (See 42 CFR §1004.110(c))
1. Legal and factual basis for the determination;
2. Sanction to be imposed (e.g., exclusion or monetary penalty);
3. Effective date and, if appropriate, the duration of the exclusion;
4. Appeal rights of the practitioner or other person;
5. Opportunity and process necessary for the practitioner or other person to use
alternative notification of patients and others (See 42 CFR §§1004.110(d) and
(e)); and
6. In the case of exclusion, the earliest date OIG will accept a request for
reinstatement.