Most medical review teams do not have an active role in sampling. However, understanding that the review of an allegation may require an investigator to request records in a certain manner can make the difference between a strong case and one that is indefensible. But how do you destress the sampling process? Having a clear process in place is just one step. You really should include the medical review perspective before you sample. This article shares some key considerations to include in your sampling process to ensure an effective fraud, waste and abuse medical review.
Read More