SIU Manager definition

SIU Manager means an individual, or the functional equivalent, who manages or oversees the functions of the SIU.
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Examples of SIU Manager in a sentence

  • The SIU Manager is responsible for directing the activities of Special Investigation Unit staff, attending meetings with FSSA and reducing or eliminating wasteful, fraudulent, or abusive healthcare ▇▇▇▇▇▇▇▇ and services.

  • The Contractor shall employ a Special Investigation Unit (SIU) Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines.

  • The Utilization Management Manager shall work with the Special Investigation Unit (SIU) Manager to assure that service billing and utilization issues are documented and reported to the SIU, and matters requiring SIU review or investigation shall be timely submitted within five (5) business days to enable recovery of overpayments or other appropriate action.

  • The SIU Manager shall report to the Compliance Officer and meet with the OMPP Program Integrity (OMPP PI) Unit at a minimum of quarterly or more frequently as directed by the OMPP PI Unit.

  • It is the responsibility of the SIU Manager to coordinate the timeliness, accuracy and completeness of all suspected or confirmed instances of waste, fraud and abuse referrals to the OMPP PI Unit.

  • It is the responsibility of the SIU Manager to coordinate the timeliness, accuracy and completeness of all suspected or confirmed instances of waste, fraud and abuse referrals to the OMPP PI Section.

  • The Contractor shall employ a Special investigation Unit (SIU) Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines.

  • The SIU Manager shall be required to interview with the OMPP PI Unit prior to obtaining FSSA approval.

  • The Utilization Management Manager (or Claims Manager, as applicable) shall work with the Special Investigation Unit (SIU) Manager to assure that service billing and utilization issues are documented and reported to the SIU, and matters requiring SIU review or investigation shall be timely submitted within five (5) business days to enable recovery of overpayments or other appropriate action.

  • The SIU Manager shall report to the Compliance Officer and meet with the OMPP Program Integrity (OMPP PI) Unit at a minimum of quarterly or more frequently as directed by the OMPP PI Section.