What are the limits of auditor record requests for large groups with 16 or more individuals?

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The correct answer reflects the specific guidelines set forth for auditor record requests. When dealing with large groups that consist of 16 or more individuals, the policy allows auditors to request a substantial number of medical records to ensure a thorough review while maintaining efficiency.

The limit of 50 medical records per 45 days per National Provider Identifier (NPI) requested provides a reasonable framework. This limit ensures that auditors can access sufficient records to assess compliance and quality of care without overwhelming healthcare providers. This method also takes into account that each NPI represents a different provider and could have varying patient populations, justifying the need for a higher volume of records.

In contrast, other limits mentioned do not accommodate the scale and complexity of larger practices and may hinder the ability to conduct a comprehensive audit. Hence, the specified limit per NPI represents a balanced approach in managing the auditing process, fostering effective compliance monitoring while respecting the operational capabilities of large healthcare groups.

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