TX HHS Form 2324. First Level Appeal of Provider Investigation Finding

The TX HHS Form 2324, First Level Appeal of Provider Investigation Finding, is a crucial document for healthcare providers in Texas. This form helps resolve disputes by allowing providers to appeal investigation findings from the Health and Human Services (HHS) Regulatory Services Division's Provider Investigations program.

To initiate an appeal, providers must complete this form and provide their reason for appealing the finding. The form requires submission of the final HHSC PI case report, including exhibits and video surveillance, as well as any relevant information that may not have been considered in the investigation. Providers are responsible for ensuring all necessary information is included to avoid delays in the review process.

The appeal request must be submitted to PI [email protected] or mailed to HHSC Provider Investigations Appeals at 14000 Summit Dr., Ste. 100, Mail Code: 0165, Austin, Texas 78728. Key requirements for submitting an appeal include completing Form 2324, providing the final HHSC PI case report, and including any relevant information that may not have been considered in the investigation.

• The form is used by healthcare providers to appeal investigation findings from the HHS Regulatory Services Division's Provider Investigations program.
• Providers must complete Form 2324 and provide their reason for appealing the finding.
• The appeal request must include the final HHSC PI case report, including exhibits and video surveillance, as well as any relevant information that may not have been considered in the investigation.