Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.4.6.2

Meetings to Start and End the Review

Last amended: 2019Year: 2019Length: 154 wordsOfficial source
8.4.6.2 - Meetings to Start and End the Review (Rev. 906; Issued: 09-26-19; Effective: 01-02-19; Implementation: 01-02-19) In-person meetings to start and end the review are encouraged, but are not required or always feasible. If the contractor holds an in-person meeting at the start of the review, the contractor shall explain both the scope and purpose of the review as well as discuss what will happen once the review is completed. The contractor shall attempt to answer all questions of the provider/supplier related to the review. During an exit meeting, the contractor may discuss the basic or preliminary findings of the review. The contractor shall give the provider/supplier an opportunity to discuss or comment on the claims decisions that were made. The contractor shall also advise the provider or supplier that a demand letter detailing the results of the review and the statistical sampling will be sent if an overpayment is determined to exist.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 8 § 8.4.6.2: Meetings to Start and End the Review | Justis AI