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Text of Recommendation
Perform an assessment of its prisoner medical request and medical claim review processes and implement a formal strategy that seeks to centralize critical functions where appropriate and considers modernizing elements of these processes to ensure the most effective and efficient administration of this critical program, including electronic processing. Such processing would enable the USMS to employ data analytical tools in its reviews of medical claims, thereby enhancing its controls and identification of problem areas.
Recommendation Number
10
Date Issued
Status
Resolved
Component
United States Marshals Service
Report
Audit of the U.S. Marshals Service’s Prisoner Medical Request and Medical Claim Review Processes through its National Managed Care Contract with Heritage Health Solutions, Inc.