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The
success of random moment sampling requires that participants detail
their activity in a timely and accurate manner. The RMS service
features encourage accurate participant input and facilitates audit
and verification checks while providing a complete history of every
transaction.
Random moment data collected may be subject to audit.
Problems discovered during an audit can result in reduced cost
recovery, denial of claims and monetary penalties if fraud is
detected.
When the project is configured, the administrator
enters the desired percentage of the samples to audited and
validated.
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Audited
Samples
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The Audit feature allows you to prompt the participant during
data entry for additional information pertaining to that random
moment. This data will support the response should an audit be
performed.
The RMS service’s automated scheduler randomly selects the
number of random moment samples required to meet the specified
levels. A participant making an entry does not know whether that
entry is going to be audited, validated or both.
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| If a random moment is
flagged for audit, after the participant records their activity
details the service will prompt for the additional information
regarding that moment. This insures the participant’s activity can
be traced to a particular case number, service, etc.
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Validated
Samples
| A Random Moment flagged for validation requires that the
participant’s supervisor review the entry details and certify
that, in their opinion, the input is accurate. The RMS service
automatically sends the supervisor an email with the link to review
the entry. |
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If the supervisor’s view of the activity differs from that of the
participant, the details of the difference can be recorded. The
validation process itself is managed completely by the RMS service.
If the supervisor agrees with the participant’s
entry it is flagged as validated. If the supervisor’s view of the
activity differs from that of the participant the supervisor can
consult with the participant and then enter the changes. A full
date and time stamped audit trail of all entries are maintained by
the RMS service.
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