Federal Compliance
Every artifact a state MFCU or Program Integrity Director needs to satisfy CMS and OIG — generated from the same case data and T-MSIS source the dashboard already uses.
Counts of complaints, investigations, indictments, convictions, civil settlements, recoveries, and exclusion referrals — the federally-required QSR submitted by every state MFCU.
42 CFR Part 1007 · OIG MFCU Performance Standards (Sept 2024)
LEIE and SAM.gov monthly cross-checks with attestation logs the State PI Director can produce during a CMS State PI Review. Death Master File support arrives in Phase 3.
42 CFR §455.436
Credible-allegation-of-fraud suspensions: basis memo, good-cause exception tracking, and reinstatement log.
42 CFR §455.23
Build the OIG-1031-style exclusion referral packet within 30 days of conviction.
Section 1128 of the Social Security Act · 42 CFR Part 1001
Recovery Audit Contractor finding intake and de-duplication against own cases.
42 CFR Part 455 Subpart F
Claim-level evidence sampling for the CMS Payment Error Rate Measurement program (17-state rotating cycle).
42 CFR Part 431 Subpart Q