68-11-1614 - Independent review and verification of information submitted to agency. - Tennessee Statutes

68-11-1614. Independent review and verification of information submitted to agency.

(a)  The commissioners of health and mental health and developmental disabilities shall establish policies and procedures to ensure independent review and verification of information submitted to the agency in applications, presentations, or otherwise.

(b)  The purpose of such independent review and verification shall be to ensure that such information is accurate, complete, comprehensive, timely, and relevant to the decision to be made by the agency.

(c)  The policies and procedures shall include, but not necessarily be limited to:

     (1)  Independent review and verification of such applicant-provided information as to the number of available beds within a region, occupancy rates, the number of individuals on waiting lists, the demographics of a region, the number of procedures, as well as any other critical information submitted or requested concerning an application; and

     (2)  Staff examinations of data sources, data input, data processing, and data output, as well as verification of critical information through review procedures, to include one (1) or more of the following:

          (A)  Analytical review;

          (B)  Tests for information on a sample basis by tracing facts to sources;

          (C)  Tests of all information provided, if necessary;

          (D)  Critical assessment of data sources, including the appropriateness of the sources; and

          (E)  Examination of the basis for projections of need, costs and available health services.

[Acts 2002, ch. 780, § 4.]