AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Eligibility Policy

SERIES: 7996
TITLE: Exception profile report-treatment and analysis
DATES: 1981-
ARRANGEMENT: None

DESCRIPTION: This is computer output microfiche number 68210L, part of the Surveillance and Utilization Review Subsystem. This lists those providers whose diagnosis and procedures were found to be unusual for their peer group so that the department can investigate these activities. These records include the report date, the class of service, the name, identification number and type of provider, the county where the provider is located, the number of beds or number of members if a group practice, the speciality of the provider, the exception criteria chosen by the department and those criteria for which the provider falls under, the dates of the report periods and the total amount of the claims submitted during that period, any specific procedure or diagnosis being reported, and the number of occurrences per the procedure.

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1987

FORMAT MANAGEMENT

Computer output microfiche master: Retain in Office for 3 years and then destroy.

APPRAISAL

Administrative Fiscal

This record is part of a series used to produce a comprehensive statistical profile on participants who deviate from pre-defined criteria for the purposes of analysis and review. This information is subject to federal audit and must be maintained for a three year period. However, two duplicate copies are not needed.

PRIMARY DESIGNATION

Private

---