Independent Informal Dispute Resolution (IIDR) and Informal Dispute Resolution (IDR) – 2013 Data

There were only 2 IIDRs requested in 2013 according to the Indiana State Department of Health (ISDH) and neither process resulted in any change to the original findings.  This continues a pattern of low usage of IIDR since the new process was rolled out in January of 2012.  It will be interesting to see if IIDR picks up in the coming years due to changes made by CMS in August 2013 that expanded CMS’s escrow authority for all citations in which CMP is imposed.  When a CMP is subject to escrow, a facility’s IIDR rights are triggered.  Click here for detail on the CMP escrow and IIDR changes from August 2013.

There were 106 survey reports with 215 tags that were processed through the ISDH’s IDR process. 

The results are as follows:

Type of IDR Review
• 58% were paper reviews
• 42% were face to face reviews

Scope and Severity of Request Reviews
• 4% were tags with s/s J-L
• 46% were tags with s/s G-I
• 40% were tags with s/s D-F
• 10% were tags with s/s A-C

Review Results
• 66.98% - no changes were made
• 18.14% - resulted in some tags being removed
• 4.65% - resulted in changes to scope and severity
• 1.40% - resulted in examples being removed
• 8.83% - The IDR was withdrawn or had more than one change that is not identified by ISDH databases