Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.3.1

General Overview

Last amended: 2015Year: 2015Length: 142 wordsOfficial source
7.3.1 - General Overview (Rev. 599, Issued: 06-26-15, Effective: 12-07-15, Implementation: 12-07-15) The purpose of the SAR is to assess progress towards achieving the improvement goals set out by the IPRS. The SAR shall analyze the specific results of the MAC’s current IPRS by using a systematic, data-guided evaluation of all aspects of the IPRS: • the listed prioritized problems • current changes to the baseline problem measurements specific to each prioritized problem • progress or lack of progress towards accomplishment of the improvement goals specific to each prioritized problem • effectiveness of the specific MR activities • improper payment interventions • improvement of provider billing behavior The SAR encapsulates the previous IPRS and uses that information to reassess, modify or to continue with the current planned approach to demonstrate progress towards their stated improvement goals for the current period of performance.
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