Current through Register Vol. 60, No. 12, December 1, 2021
Providers must furnish requested medical and financial documentation within 30
calendar days from the date of request. Failure to comply within 30 calendar
days shall result in recovery of payment(s) made by the Division for services
(2) The Division
conducts post payment review of admissions and claim records. The Division may
request records from a hospital or may request access to records while at the
(3) The hospital has 30
days to provide the Division with copies of records. In some cases, there may
be a more urgent need to review records.
(4) The Medical Payment Recovery Unit (MPRU)
conducts recovery activities for the Division involving third party liability
resources. MPRU may request records from the hospital. This unit has the same
right to medical and financial information as the Division.
Or. Admin. R.
AFS 14-1980, f. 3-27-80,
ef. 4-1-80; AFS 60-1982, f. & ef. 7-1-82; AFS 46-1987, f. & ef.
10-1-87; AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89; AFS 72-1989, f. &
cert. ef. 12-1-89, Renumbered from 461-015-0040; HR 21-1990, f. & cert. ef.
7-9-90, Renumbered from 461-015-0690; HR 42-1991, f. & cert. ef. 10-1-91;
OMAP 11-2004, f. 3-11-04, cert. ef. 4-1-04; OMAP 70-2004, f. 9-15-04, cert. ef.
10-1-04; DMAP 32-2010, f. 12-15-10, cert. ef.
Stat. Auth.: ORS
Stats. Implemented: ORS