Common use of Audit and Inspection Committee Clause in Contracts

Audit and Inspection Committee. ‌ (a) In this section 10.2 and section 10.3, “medical practitioner” has the meaning given to that expression in section 29 of the Interpretation Act, and “panel” has the meaning given to that expression in section 6 of the Medicare Protection Act. (b) The MSC has the right and responsibility to appoint inspectors to audit claims for payment by medical practitioners and the patterns of practice or billing followed by medical practitioners under the Medicare Protection Act. (c) The Audit and Inspection Committee is a panel appointed by the MSC pursuant to section 6 of the Medicare Protection Act. (d) The parties agree that the Audit and Inspection Committee shall be delegated the powers of the MSC under section 36(2) of the Medicare Protection Act to appoint medical inspectors to audit and inspect medical practitioners. (e) The Audit and Inspection Committee’s responsibilities include oversight of random audits, other audits and inspections referred to it by the MSC, MSP or any practitioner review committee, including the Patterns of Practice Committee, and the submission of its recommendations to the MSC. (f) Medical inspectors are to be appointed from a list maintained by the Audit and Inspection Committee and proposed through the Patterns of Practice Committee following consultation with the College of Physicians and Surgeons of British Columbia. (g) Notice of inspection must be provided to the medical practitioner(s) in question. Except in extraordinary circumstances, which in no case would include a random audit, notice of inspection must be provided at least 14 days prior to the inspection. (h) Inspection guidelines are to be clearly laid out and communicated to the medical practitioner(s) prior to inspection. (i) The confidential nature of medical records will be protected. The identity of patients shall be protected except to the extent necessary for verification or as evidence for a hearing. (j) Prior to any decision being made by the MSC resulting from a recommendation of the Audit and Inspection Committee, it is understood that the medical practitioner(s) subject to the audit and inspection shall be entitled to be heard by the MSC and to have legal counsel present and may have one or more colleagues present to comment on the practice of the medical practitioner(s). (k) Prior to a hearing before the MSC, the MSC will communicate in writing to the medical practitioner(s) its concerns and provide copies of all relevant documents (except those over which a claim of privilege is advanced and, if challenged, upheld) to the medical practitioner(s) at least 21 days prior to the hearing. (l) The approved costs of the Audit and Inspection Committee shall be funded by the Government.‌

Audit and Inspection Committee. ‌ (a) In this section 10.2 and section 10.3, “medical practitioner” has the meaning given to that expression in section 29 1 of the Interpretation Medicare Protection Act, as further defined by section 36(1) therein, and “panel” has the meaning given to that expression in section 6 of the Medicare Protection Act, as further described in this section 10.2. (b) The MSC has the right and responsibility to appoint inspectors to audit claims for payment by medical practitioners and the patterns of practice or billing followed by medical practitioners under the Medicare Protection Act. (c) The Audit and Inspection Committee is a panel appointed by the MSC pursuant to section 6 of the Medicare Protection Act. (d) The parties agree that the Audit and Inspection Committee shall be delegated the powers of the MSC under section 36(2) of the Medicare Protection Act to appoint medical inspectors to audit and inspect medical practitioners. (e) The Audit and Inspection Committee’s responsibilities include oversight of random audits, other audits and inspections referred to it by the MSC, MSP or any practitioner review committee, including the Patterns of Practice Committee, and the submission of its recommendations to the MSC. (f) Medical inspectors Inspectors are to be appointed from a list maintained by the Audit and Inspection Committee and proposed through jointly by the Patterns Doctors of Practice Committee following BC and the Government after consultation with the College of Physicians and Surgeons of British Columbia. (g) Notice of inspection must be provided to the medical practitioner(s) in question. Except in extraordinary circumstances, which in no case would include a random audit, notice of inspection must be provided at least 14 days prior to the inspection. (h) Inspection guidelines are to be clearly laid out and communicated to the medical practitioner(s) prior to inspection. (i) The confidential nature of medical records will be protected. The identity of patients shall be protected except to the extent necessary for verification or as evidence for a hearing. (j) Prior to any decision being made by the MSC resulting from a recommendation of the Audit and Inspection Committee, it is understood that the medical practitioner(s) subject to the audit and inspection shall be entitled to be heard by the MSC and to have legal counsel present and may have one or more colleagues present to comment on the practice of the medical practitioner(s). (k) Prior to a hearing before the MSC, the MSC will communicate in writing to the medical practitioner(s) its concerns and provide copies of all relevant documents (except those over which a claim of privilege is advanced and, if challenged, upheld) to the medical practitioner(s) at least 21 days prior to the hearing. (l) The approved costs of the Audit and Inspection Committee shall be funded by the Government.‌MSP.

Audit and Inspection Committee. ‌ (a) In this section 10.2 and section 10.3, “medical practitioner” has the meaning given to that expression in section 29 1 of the Interpretation Medicare Protection Act, as further defined by section 36(1) therein, and “panel” has the meaning given to that expression in section 6 of the Medicare Protection Act, as further described in this section 10.2. (b) The MSC has the right and responsibility to appoint inspectors to audit claims for payment by medical practitioners and the patterns of practice or billing followed by medical practitioners under the Medicare Protection Act. (c) The Audit and Inspection Committee is a panel appointed by the MSC pursuant to section 6 of the Medicare Protection Act. (d) The parties agree that the Audit and Inspection Committee shall be delegated the powers of the MSC under section 36(236(1) to (122) of the Medicare Protection Act to appoint medical inspectors to audit and inspect medical practitioners. (e) The Audit and Inspection Committee’s responsibilities include oversight of random audits, other audits and inspections referred to it by the MSC, MSP or any practitioner review committee, including the Patterns of Practice Committee, and the submission of its recommendations to the MSC. (f) Medical inspectors Inspectors are to be appointed from a list maintained by the Audit and Inspection Committee and proposed through jointly by the Patterns Doctors of Practice Committee following BC and the Government after consultation with the College of Physicians and Surgeons of British Columbia. (g) Notice of inspection must be provided to the medical practitioner(s) in question. Except in extraordinary circumstances, which in no case would include a random audit, notice of inspection must be provided at least 14 days prior to the inspection. (h) Inspection guidelines are to be clearly laid out and communicated to the medical practitioner(s) prior to inspection. (i) The confidential nature of medical records will be protected. The identity of patients shall be protected except to the extent necessary for verification or as evidence for a hearing. (j) Prior to any decision being made by the MSC resulting from a recommendation of the Audit and Inspection Committee, it is understood that the medical practitioner(s) subject to the audit and inspection shall be entitled to be heard by the MSC and to have legal counsel present and may have one or more colleagues present to comment on the practice of the medical practitioner(s). (k) Prior to a hearing before the MSC, the MSC will communicate in writing to the medical practitioner(s) its concerns and provide copies of all relevant documents (except those over which a claim of privilege is advanced and, if challenged, upheld) to the medical practitioner(s) at least 21 days prior to the hearing. (l) The approved costs of the Audit and Inspection Committee shall be funded by the Government.‌MSP.

Audit and Inspection Committee. ‌ (a) In this section 10.2 and section 10.3, “medical practitioner” has the meaning given to that expression in section 29 1 of the Interpretation Medicare Protection Act, as further defined by section 36(1) therein, and “panel” has the meaning given to that expression in section 6 of the Medicare Protection Act, as further described in this section 10.2. (b) The MSC has the right and responsibility to appoint inspectors to audit claims for payment by medical practitioners and the patterns of practice or billing followed by medical practitioners under the Medicare Protection Act. (c) The Audit and Inspection Committee is a panel appointed by the MSC pursuant to section 6 of the Medicare Protection Act. (d) The parties agree that the Audit and Inspection Committee shall be delegated the powers of the MSC under section 36(236(1) to (12) of the Medicare Protection Act to appoint medical inspectors to audit and inspect medical practitioners. (e) The Audit and Inspection Committee’s responsibilities include oversight of random audits, other audits and inspections referred to it by the MSC, MSP or any practitioner review committee, including the Patterns of Practice Committee, and the submission of its recommendations to the MSC. (f) Medical inspectors Inspectors are to be appointed from a list maintained by the Audit and Inspection Committee and proposed through jointly by the Patterns of Practice Committee following BCMA and the Government after consultation with the College of Physicians and Surgeons of British Columbia. (g) Notice of inspection must be provided to the medical practitioner(s) in question. Except in extraordinary circumstances, which in no case would include a random audit, notice of inspection must be provided at least 14 days prior to the inspection. (h) Inspection guidelines are to be clearly laid out and communicated to the medical practitioner(s) prior to inspection. (i) The confidential nature of medical records will be protected. The identity of patients shall be protected except to the extent necessary for verification or as evidence for a hearing. (j) Prior to any decision being made by the MSC resulting from a recommendation of the Audit and Inspection Committee, it is understood that the medical practitioner(s) subject to the audit and inspection shall be entitled to be heard by the MSC and to have legal counsel present and may have one or more colleagues present to comment on the practice of the medical practitioner(s). (k) Prior to a hearing before the MSC, the MSC will communicate in writing to the medical practitioner(s) its concerns and provide copies of all relevant documents (except those over which a claim of privilege is advanced and, if challenged, upheld) to the medical practitioner(s) at least 21 days prior to the hearing. (l) The approved costs of the Audit and Inspection Committee shall be funded by the Government.‌MSP.

Audit and Inspection Committee. ‌ (a) In this section 10.2 and section 10.3, “medical practitioner” has the meaning given to that expression in section 29 1 of the Interpretation Medicare Protection Act, as further defined by section 36(1) therein, and “panel” has the meaning given to that expression in section 6 of the Medicare Protection Act, as further described in this section 10.2. (b) The MSC has the right and responsibility to appoint inspectors to audit claims for payment by medical practitioners and the patterns of practice or billing followed by medical practitioners under the Medicare Protection Act.Act.‌ (c) The Audit and Inspection Committee is a panel appointed by the MSC pursuant to section 6 of the Medicare Protection Act. (d) The parties agree that the Audit and Inspection Committee shall be delegated the powers of the MSC under section 36(2) of the Medicare Protection Act to appoint medical inspectors to audit and inspect medical practitioners.practitioners.‌ (e) The Audit and Inspection Committee’s responsibilities include oversight of random audits, other audits and inspections referred to it by the MSC, MSP or any practitioner review committee, including the Patterns of Practice Committee, and the submission of its recommendations to the MSC. (f) Medical inspectors Inspectors are to be appointed from a list maintained by the Audit and Inspection Committee and proposed through jointly by the Patterns Doctors of Practice Committee following BC and the Government after consultation with the College of Physicians and Surgeons of British Columbia. (g) Notice of inspection must be provided to the medical practitioner(s) in question. Except in extraordinary circumstances, which in no case would include a random audit, notice of inspection must be provided at least 14 days prior to the inspection. (h) Inspection guidelines are to be clearly laid out and communicated to the medical practitioner(s) prior to inspection. (i) The confidential nature of medical records will be protected. The identity of patients shall be protected except to the extent necessary for verification or as evidence for a hearing. (j) Prior to any decision being made by the MSC resulting from a recommendation of the Audit and Inspection Committee, it is understood that the medical practitioner(s) subject to the audit and inspection shall be entitled to be heard by the MSC and to have legal counsel present and may have one or more colleagues present to comment on the practice of the medical practitioner(s). (k) Prior to a hearing before the MSC, the MSC will communicate in writing to the medical practitioner(s) its concerns and provide copies of all relevant documents (except those over which a claim of privilege is advanced and, if challenged, upheld) to the medical practitioner(s) at least 21 days prior to the hearing.hearing.‌ (l) The approved costs of the Audit and Inspection Committee shall be funded by the Government.‌MSP.