When a quality reviewer identifies a deficiency in a case, that is related to a new
or revised policy or procedure covered by a grace period, the quality reviewer will
cite the deficiency and return the deficient case to the adjudicating component for
correction. The quality reviewer will annotate the Request for Corrective Action with
the following remark:
-
•
Informational Only. Group I Deficiency Not Counted in Performance Accuracy Calculations.
NOTE: When a quality reviewer identifies a deficiency in a case, that is NOT related to
a new or revised policy or procedure covered by a grace period, the quality reviewer
will cite and record the deficiency following the standard quality review process.