Assess whether the intrusion is still active (f7d4e1)

Situation

The intrusion is still active sits with IG improper-payments investigator because an OCC request for model validation of a fair-lending control hit a Medicare contractor SIU pack. Evidence is fair-lending comparative files for an exam; write the US Federal Healthcare Compliance Fraud option that extract can carry.

Decision

IG improper-payments investigator in a Medicare contractor SIU pack must choose Pursue / Pursue with conditions / Partner / No-bid using fair-lending comparative files for an exam after an OCC request for model validation of a fair-lending control.

Hypotheses to test

• IG improper-payments investigator can defend Pursue from fair-lending comparative files for an exam after an OCC request for model validation of a fair-lending control in a US Federal challenge.
• IG improper-payments investigator cannot defend Pursue from fair-lending comparative files for an exam; Pursue with conditions is what the extract actually supports after an OCC request for model validation of a fair-lending control.
• An OCC request for model validation of a fair-lending control never reached the population in fair-lending comparative files for an exam — reopen intake, do not close the intrusion is still active.
• Two facts in fair-lending comparative files for an exam after an OCC request for model validation of a fair-lending control conflict for IG improper-payments investigator; hold this Healthcare Compliance Fraud file.

Analysis required

• Map FAR, Section L/M, and evaluator priorities in fair-lending comparative files for an exam after an OCC request for model validation of a fair-lending control.
• Name the evaluation right IG improper-payments investigator would forfeit by rushing.
• Normalize pricing and CPARS/QASP evidence that actually supports the intrusion is still active.
• For this US Federal Healthcare Compliance Fraud file, read fair-lending comparative files for an exam against an OCC request for model validation of a fair-lending control and write the one fact that would move the intrusion is still active for IG improper-payments investigator.

Recommendation

Choose Pursue / Pursue with conditions / Partner / No-bid on this US Federal / Healthcare Compliance Fraud packet (fair-lending comparative files for an exam after an OCC request for model validation of a fair-lending control). The follow-on Healthcare Compliance Fraud action is what IG improper-payments investigator does next: implement the option, assign an owner, and log the missing fact.