Specifications include, but are not limited to: Mandatory 1: Quality Review Process. The Vendor shall develop and maintain a Quality Review Process to address all quality issues identified and referred for assessment as well as identified patterns of unnecessary utilization of inpatient or outpatient services or patterns of incorrect diagnostic and procedural coding resulting in Diagnosis Related Group (DRG) changes. Mandatory 2: Assessment of Quality of Care Issues. The Vendor shall: D.2.3.1. Assess suspected quality of care issues in inpatient and outpatient settings, and for other types of care or settings as directed by the Department. The Vendor shall comply with 42 CFR Part 476 and determine completeness, adequacy and quality of hospital care provided. D.2.3.2. Include in its assessment a physician review of the medical record and notification to providers of potential quality of care issues;