Exclusion screening software buyer’s guide · Chapter 4 of 6
The evidence an auditor will ask for
What a screening record has to show, why list versions matter, and how long to keep it.
What the record has to show
For every run: the date, who was checked, which lists, which edition of each list, what matched and what was decided. A screenshot of a search shows little of that; a dated report generated from the run shows all of it.
Why list versions matter
Lists change every month, and entries are added and removed. To show that a check was right on the day it ran, the record has to name the edition of the list it used, not only the date.
How long to keep it
Follow your retention policy and contracts. The Medicare and Medicaid overpayment rule looks back six years, so records from earlier years can still matter.
- Does each report name the list editions it used?
- Can a report change after it is generated?
- Can we export our full screening history if we leave?
Read more
Sources: 42 CFR 401.305: Reporting and returning of overpaymentsSee it on your own list
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