Additional Functions. The contract may include any or all of the following functions: (1) Any or all of the program integ- rity functions described in § 421.304, provided the intermediary is con- tinuing those functions under an agree- ment entered into under section 1816 of the Act that was in effect on August 21, 1996, and they do not duplicate work being performed under a Medicare in- tegrity program contract. (2) Undertaking to adjust incorrect payments and recover overpayments when it is determined that an overpay- ment was made. (3) Furnishing to CMS timely infor- mation and reports that CMS requests in order to carry out its responsibil- ities in the administration of the Medi- care program. (4) Establishing and maintaining pro- cedures as approved by CMS for the re- determination of payment determina- tions. (5) Maintaining records and making available to CMS the records necessary for verification of payments and for other related purposes. (6) Upon inquiry, assisting individ- uals for matters pertaining to an inter- mediary agreement. (7) Serving as a channel of commu- nication to and from CMS of informa- tion, instructions, and other material as necessary for the effective and effi- cient performance of an intermediary agreement. (8) Undertaking other functions as mutually agreed to by CMS and the intermediary.
Appears in 5 contracts
Samples: Indemnification Agreement, Indemnification Agreement, Intermediary and Carrier Agreements
