Surveillance Utilization Review Subsystem
- is a subsystem of the Medicaid Management Information System, which maintains and stores Medicaid claims data. SURS
detects potential misuse of Medcaid by program recipients and providers through data analysis; provides information to facilitate investigation of fraud
, waste, and abuse
; and produces comprehensive reports for the utilization review staff designed to assist in analyzing quality of care and developing program policy. The SURS
(Surveillance Utilization Review Subsystem) Division produces comprehensive reports that are used for the detection of Medicaid program fraud
, quality of care, and the development of program policy.