Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.1.2.7.1

QA for Data Analysis and Information Gathering

Last amended: 2015Year: 2015Length: 106 wordsOfficial source
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.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.1.2.7.1: QA for Data Analysis and Information Gathering | Justis AI