Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.4.6.1

Notification of Provider or Supplier of the Review and

Last amended: 2019Year: 2019Length: 137 wordsOfficial source
8.4.6.1 – Notification of Provider or Supplier of the Review and Selection of the Review Site (Rev. 906; Issued: 09-26-19; Effective: 01-02-19; Implementation: 01-02-19) The contractor shall first determine whether it will be giving advance notification to the provider or supplier of the review. Although in most cases the contractor conducting the review shall give prior notification, the provider/supplier is not always notified before the start of the review. When not giving advance notice, the contractor shall obtain the advance approval of the BFL/COR. When giving advance notice, the contractor shall provide written notification by certified mail with return receipt requested (retain all receipts). Second, regardless of whether advance notice is provided, the contractor shall determine where to conduct the review of the medical and other records: either at the provider’s/supplier’s site(s) or at the contractor’s office.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.4.6.1: Notification of Provider or Supplier of the Review and | Justis AI