b. Yes; the CIA will identify five IROs that can be used for the CIA Review.
c. No; the OIG does not have any input on the IRO used under any circumstance.
d. No; the OIG does not specify the IRO to be used, but does retain the right to notify the
provider if they must select a new IRO.
d. The provider can request a hearing before an ALJ in the HHS.
If the subject receiving a demand letter from the OIG disagrees, he/she can request a hearing
before an administrative law judge (ALJ) in Health and Human Services (HHS). - Answer✔✔-
What rights does a provider have if he/she disagrees with a demand letter sent by the OIG?
a. The provider can choose to self-disclose once a demand letter has been received.
b. The provider can send in supporting documentation for the claims to the OIG for review by
certified mail.
c. The provider can only respond to the demand letter with payment.
d. The provider can request a hearing before an ALJ in the HHS.
d. The 1997 E/M Documentation Guidelines are more detailed using bullets and shading to
determine levels of exams.
The 1995 E/M Documentation Guidelines are vague in the description of the exam whereas the
1997 E/M Documentation Guidelines are more detailed using bullets and shading to determine
levels of exams. - Answer✔✔-Which statement is TRUE regarding 1995 and 1997 E/M
Documentation Guidelines?
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