Assess whether a trial site should be referred (11546b)

Situation

A Medicare contractor SIU pack cannot treat a vessel name close to an SDN as color commentary on clinical-trial site anomaly report. IG improper-payments investigator must close a trial site should be referred from that extract under US Federal / Healthcare Compliance Fraud.

Decision

IG improper-payments investigator in a Medicare contractor SIU pack must choose Pursue / Pursue with conditions / Partner / No-bid using clinical-trial site anomaly report after a vessel name close to an SDN.

Hypotheses to test

• IG improper-payments investigator can defend Pursue from clinical-trial site anomaly report after a vessel name close to an SDN in a US Federal challenge.
• IG improper-payments investigator cannot defend Pursue from clinical-trial site anomaly report; Pursue with conditions is what the extract actually supports after a vessel name close to an SDN.
• A vessel name close to an SDN never reached the population in clinical-trial site anomaly report — reopen intake, do not close a trial site should be referred.
• Two facts in clinical-trial site anomaly report after a vessel name close to an SDN conflict for IG improper-payments investigator; hold this Healthcare Compliance Fraud file.

Analysis required

• Test OCI and SAM.gov status before a Medicare contractor SIU pack commits.
• Map FAR, Section L/M, and evaluator priorities in clinical-trial site anomaly report after a vessel name close to an SDN.
• Name the evaluation right IG improper-payments investigator would forfeit by rushing.
• For this US Federal Healthcare Compliance Fraud file, read clinical-trial site anomaly report against a vessel name close to an SDN and write the one fact that would move a trial site should be referred for IG improper-payments investigator.

Recommendation

Choose Pursue / Pursue with conditions / Partner / No-bid on this US Federal / Healthcare Compliance Fraud packet (clinical-trial site anomaly report after a vessel name close to an SDN). 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.