WEBVTT

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An oversight title does not prove that a record was reviewed.

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This Livewire page asks whether Medicaid program-integrity,

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MMIS, and state-audit records can trace concerns.

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Use four checks.

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First, intake: was material received, logged, and routed?

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Second, scope: were claims, provider-directory,

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referral, access, and system records examined?

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Third, custody: who held the data,

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and were originals and audit logs preserved?

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Fourth, outcome: was there a reasoned closure,

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referral, or finding?

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Keep the boundaries exact.

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A contractor's role does not prove conflict or misconduct.

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A missing record is a documentation gap,

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not proof of destruction.

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HHS OIG's 2022 UPIC evaluation

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studied 2019 activity;

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all four recommendations are now closed.

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A complaint or payment anomaly is not proof of fraud.

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Read the source-linked questions at david-medeiros.com.