Substantial Allegation Validation Surveys of Deemed

3243 - Substantial Allegation Validation Surveys of Deemed Providers/Suppliers (Rev. 123, Issued: 10-03-14, Effective: 10-03-14, Implementation: 10-03-14) A substantial allegation/complaint survey is authorized by the RO in response to a credible allegation which, if substantiated, would result in a condition-level citation. The RO advises the SA which conditions are to be assessed for compliance, based on the nature of the complaint. The SA conducts the complaint investigation in accordance with the established protocols for the provider or supplier type. It is not sufficient for the SA to review only the medical record(s) related to the specific complaint allegation; rather, the SA must assess the provider’s/supplier’s general, current compliance with each condition specified by the RO on the authorizing Form CMS 2802 transmitted in ACTS. See Chapter 5, Sections 5100 – 5110 for more information on substantial allegation survey policies, procedures and timeframes