24828d2e_Compliance_Audits__Answer
[Reference Number] 21 [Topic] Direct vs. Non-Direct [Question] When there is a dispute over whether a payor is a direct payor, and a hospital proves that this payor is indeed a direct payor, does KPMG update the Elector list, and consider this payor as a direct payor going forward? [Answer] 
If the provider does not maintain the elector name in their records as it is listed on the DOH list it is quite possible that KPMG won't be able to match it. Once the provider proves that it is indeed a direct payor, KPMG will maintain the payor name as the provider had it listed to use in future reviews when doing the name to name match.
Compliance Audits