US · guidance
CMS Pub. 100-08, ch. 8, § 8.4.6.2
Meetings to Start and End the Review
In-person meetings to start and end the review are encouraged, but are not required or
always feasible. If the contractor holds an in-person meeting at the start of the review,
the contractor shall explain both the scope and purpose of the review as well as discuss
what will happen once the review is completed. The contractor shall attempt to answer
all questions of the provider/supplier related to the review.
During an exit meeting, the contractor may discuss the basic or preliminary findings of
the review. The contractor shall give the provider/supplier an opportunity to discuss or
comment on the claims decisions that were made. The contractor shall also advise the
provider or supplier that a demand letter detailing the results of the review and the
statistical sampling will be sent if an overpayment is determined to exist.
History
(Rev. 906; Issued: 09-26-19; Effective: 01-02-19; Implementation: 01-02-19)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ced8f83e772964b19267ba858515c6919232b30e9b04ea14b8e467b398c03d1f
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