Assess whether billing outliers are fraud, abuse, or documentation (7daec7)

Situation

A civilian agency splitting awards near the simplified threshold cannot treat log sources that were not retained past 30 days as color commentary on RFP Section L/M that omits a mandatory clause. OFAC sanctions investigator must close billing outliers are fraud, from that extract under US Federal / Healthcare Compliance Fraud.

Decision

OFAC sanctions investigator in a civilian agency splitting awards near the simplified threshold must choose Billing outliers are fraud, abuse, / Documentation using RFP Section L/M that omits a mandatory clause after log sources that were not retained past 30 days.

Hypotheses to test

• OFAC sanctions investigator can defend Billing outliers are fraud, abuse, from RFP Section L/M that omits a mandatory clause after log sources that were not retained past 30 days in a US Federal challenge.
• OFAC sanctions investigator cannot defend Billing outliers are fraud, abuse, from RFP Section L/M that omits a mandatory clause; Documentation is what the extract actually supports after log sources that were not retained past 30 days.
• Log sources that were not retained past 30 days never reached the population in RFP Section L/M that omits a mandatory clause — reopen intake, do not close billing outliers are fraud,.
• Two facts in RFP Section L/M that omits a mandatory clause after log sources that were not retained past 30 days conflict for OFAC sanctions investigator; hold this Healthcare Compliance Fraud file.

Analysis required

• Test OCI and SAM.gov status before a civilian agency splitting awards near the simplified threshold commits.
• Map FAR, Section L/M, and evaluator priorities in RFP Section L/M that omits a mandatory clause after log sources that were not retained past 30 days.
• Name the evaluation right OFAC sanctions investigator would forfeit by rushing.
• For this US Federal Healthcare Compliance Fraud file, read RFP Section L/M that omits a mandatory clause against log sources that were not retained past 30 days and write the one fact that would move billing outliers are fraud, for OFAC sanctions investigator.

Recommendation

Choose Billing outliers are fraud, abuse, / Documentation on this US Federal / Healthcare Compliance Fraud packet (RFP Section L/M that omits a mandatory clause after log sources that were not retained past 30 days). The follow-on Healthcare Compliance Fraud action is what OFAC sanctions investigator does next: implement the option, assign an owner, and log the missing fact.