Provider Investigations

An investigation is an inquiry into circumstances surrounding an allegation or incident. If a provider or a person associated with the provider is suspected of wrongdoing, it is in the organization's best interest to investigate such matters and resolve them as quickly and efficiently as possible. CPM provides the ability to manage investigations for providers.

Multiple investigation types are supported, for example, child welfare, licensing violations, etc. Allegations of benefit fraud or reported incidents of child abuse may come from a number of sources, such as members of the public, family members or provider members. The details of each allegation recorded are examined in detail to establish whether the allegation is founded or not. If the investigation was created as the result of one or more incidents reported against the provider, the investigation can also be related to those incidents as references.

For more information on investigations, please refer to the Curam Investigations Guide.