Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 25 randomly selected Focus Arrangements that were entered into or renewed by Progenity during the Reporting Period. The IRO shall assess whether Progenity has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements.
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 50 Focus Arrangements (or 10%, whichever is less) that were entered into or renewed by Xxxxxx during the Reporting Period. The Legal IRO shall select its sample of Focus Arrangements for review in consultation with OIG. The Legal IRO shall assess whether Xxxxxx has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA with respect to the selected Focus Arrangements. The Legal IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the Legal IRO of 75 Focus Arrangements that were entered into or renewed by Halifax during the Reporting Period with: (1) physicians or other health care professionals; or (2) entities owned or controlled, in whole or in part, by physicians or other health care professionals. The Legal IRO shall select its sample of Focus Arrangements for review in consultation with OIG. The Legal IRO shall assess whether Halifax has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA with respect to the selected Focus Arrangements. The Legal IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 15 randomly selected Focus Arrangements that were entered into or renewed by HealthNet during the Reporting Period; or a randomly selected 20 percent of the Focus Arrangements that were entered into or renewed by HealthNet during the Reporting Period, whichever is greater. The IRO shall assess whether HealthNet has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 75 randomly selected Focus Arrangements that were entered into or renewed by OFX or OSI during the Reporting Period. The 75 Focus Arrangements shall be divided into two strata. The first stratum shall consist of 40 Arrangements between OFX or OSI and physicians. The second stratum shall consist of 35 Arrangements between OFX or OSI and any other source of federal health care program referrals. The IRO shall assess whether Orthofix has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.2 and 3 of the CIA, with respect to the selected Focus Arrangements. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the Legal IRO of 75 Focus Arrangements that were entered into or renewed by KDMC during the Reporting Period with: (1) physicians or other health care professionals; or (2) entities owned or controlled, in whole or in part, by physicians or other health care professionals. The Legal IRO shall select its sample of Focus Arrangements for review in consultation with OIG. The Legal IRO shall assess whether KDMC has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.F.1 and III.F.2 of the CIA, with respect to the selected Focus Arrangements. The Legal IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the Legal IRO of 50 Focus Arrangements that were entered into or renewed by IHS during the Reporting Period with: (1) physicians or other health care professionals; or (2) entities owned or controlled, in whole or in part, by physicians or other health care professionals. The Legal IRO shall select its sample of Focus Arrangements for review in consultation with OIG. The Legal IRO shall assess whether IHS has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA with respect to the selected Focus Arrangements. The Legal IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
1. verifying that the Focus Arrangement is maintained in IHS’s centralized tracking system in a manner that permits the Legal IRO to identify the parties to the Focus Arrangement and the relevant terms of the Focus Arrangement (i.e., the items/services/equipment/space to be provided, the amount of compensation, the effective date, the expiration date, etc.);
Arrangements Transactions Review. For purposes of the Arrangements Transactions Review, the IRO shall review a total of 18 Arrangements which shall be divided between Discount Arrangements and FFS Arrangements as specified by the OIG. Prior to the determination of the number of each type of Arrangement to be reviewed Reporting Periods, NPC shall provide to the OIG the information specified below in the next paragraph within 60 days prior to the end of the applicable preceding Reporting Period.
Arrangements Transactions Review. For reach Reporting Period of the CIA, the Monitor shall perform the Arrangements Transactions Review, and prepare an Arrangements Transactions Review Report as outlined in Appendix A to this CIA, which is incorporated by reference.
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 50 randomly selected Focus Arrangements that were entered into or renewed by GSMC during the Reporting Period. The IRO shall assess whether GSMC has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements.
