Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.1.2.7.1
QA for Data Analysis and Information Gathering
7.1.2.7.1 - QA for Data Analysis and Information Gathering
(Rev. 599, Issued: 06-26-15, Effective: 12-07-15, Implementation: 12-07-15)
The MAC shall develop a QA process for data analysis and information gathering that
frequently reviews the data and how the information is used.
The MAC shall:
• Establish an internal process for routinely reviewing data results
• Document the job titles, qualifications and contract operational areas represented
by those who routinely review the data results
• Describe the log tracking system(s) utilized for data analysis and how this
information was developed by the MAC
• Describe how decisions are made as a result of the data analysis meetings.