Policy Prism AI

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42 CFR § 1004.90

42 CFR § 1004.90

Basis for recommended sanction. The QIO's specific recommendation must be based on documentation provided to the OIG showing its consideration of—

(a)

The type of offense involved;

(b)

The severity of the offense;

(c)

The deterrent value;

(d)

The practitioner's or other person's previous sanction record;

(e)

The availability of alternative sources of services in the community; and

(f)

Any other factors that the QIO considers relevant, such as the duration of the problem.