AUDIT OR REVIEW Sample Clauses
AUDIT OR REVIEW. 10.1. The Department (or persons authorised by the Department) may conduct an audit or review of the RTO at any reasonable time:
a) to confirm whether the RTO is complying with this VET Funding Contract;
b) to establish whether and to what extent the Funds have been used for the provision of the Training Services to Eligible Individuals;
c) to investigate allegations or suspected misuse of the Funds; and/or
d) if applicable, as part of the Department’s Audit and Risk Committee’s Internal Audit Plan.
10.2. The RTO must, in accordance with the Department’s directions:
a) permit the Department, or persons authorised by the Department, to enter its premises, and areas within those premises that are used for the delivery of Training Services, to conduct audits or reviews at any time reasonably required by the Department, including times when Training Services are being provided to Eligible Individuals;
b) provide the Department (or persons authorised by the Department) with all assistance needed to perform the audit or review, including providing access to office space, telephones, photocopy facilities and other facilities at the RTO’s premises;
c) participate in and assist with any audit or review:
i) administered by the Commonwealth Government (including an Invalid Enrolment Audit);
ii) specified in Clauses 9.10 or 10.1, or Schedule 1 of this VET Funding Contract; or
iii) any other audit not specifically provided for in this VET Funding Contract, but which the Department considers necessary.
d) reimburse the Department for any costs incurred in conducting audits or reviews, if directed to do so.
10.3. If an audit or review conducted by, or on behalf of, the Department concludes that there has been non-compliance by the RTO with the VET Funding Contract, the Department may, in its absolute discretion:
a) exercise any of its rights under Clauses 16 or 17; or
b) require the RTO to:
i) provide a written response to the Department on any matter relating to the audit or review in accordance with the Department's requirements;
ii) take all reasonable steps, to the Department's satisfaction, to prevent future instances of non-compliance with this VET Funding Contract which are identified by an audit or review by implementation a management action plan agreed between the RTO and the Department (or persons acting on behalf of or engaged by the Department); and/or
iii) within 6 months of an auditor notifying the RTO in writing of its recommendations or such other timefr...
AUDIT OR REVIEW. 11.1. The RTO acknowledges that, during the Term:
a) the Commission (or persons authorised by the Commission) may conduct an audit of the RTO at any reasonable time:
i. in order to confirm whether the RTO is complying with this Agreement;
ii. in order to establish whether and to what extent the Funds have been used for the provision of the Training Services to Eligible Individuals;
iii. in order to investigate allegations or suspected misuse of the Funds; and/or
iv. if applicable, as part of the Commission’s Audit and Risk Committee’s Internal Audit Plan. This clause 11.1 continues despite any expiry or termination of the Agreement.
11.2. The RTO must provide the Commission (or persons authorised by the Commission) with all assistance needed to perform the audit, including providing access to office space, telephones and photocopy facilities at the RTO’s premises.
AUDIT OR REVIEW. Any payment is subject to appropriate adjustment if an audit or review demonstrates insufficient or inappropriate documentation to support a claims notification submitted to the Department. The Provider Pay-for-Performance (P4P) program described in this Exhibit B (3) is for services rendered by providers during a Calendar Year (CY) and defined in your PH- MCO specific Quality Performance Program approved by the Department
AUDIT OR REVIEW. 11.1. The RTO acknowledges that:
a) the Commission or Department (or persons authorised by the Commission or Department) may conduct an audit or review of the RTO at any reasonable time:
i) in order to confirm whether the RTO is complying with this Agreement;
ii) in order to establish whether and to what extent the Funds have been used for the provision of the Training Services to Eligible Individuals;
iii) in order to investigate allegations or suspected misuse of the Funds; and/or
iv) if applicable, as part of the Commission’s Audit and Risk Committee’s Internal Audit Plan.
11.2. For the avoidance of doubt, whether the time of an audit or review under Clause 11.1 is reasonable may be informed by timing considerations connected to the Commission's need to ensure the proper administration of the Agreement and the Funds.
11.3. The RTO must provide the Commission or Department (or persons authorised by the Commission or Department) with all assistance needed to perform the audit or review, including providing access to office space, telephones and photocopy facilities at the RTO’s premises.
AUDIT OR REVIEW. (a) Each financial year, the Trustee must arrange for an audit of the financial statements and compliance with the Private ancillary fund guidelines by the Trust and the Trustee by a person registered as a company auditor in accordance with the Private ancillary fund guidelines.
(b) Notwithstanding subclause 10.6(a), if permitted by the Private ancillary fund guidelines for a particular financial year, the Trustee may instead of an audit arrange for a review of the financial statements and compliance with the Private ancillary fund guidelines by the Trust and the Trustee by a registered company auditor or an individual who is taken to be a registered company auditor for the purposes of section 324BE of the Corporations Xxx 0000.
(c) The audit or review must be finalised before the date on which the Trustee is required to give a return to the Commissioner for the relevant financial year.
AUDIT OR REVIEW. 10.1. The Department (or persons authorised by the Department) may conduct an audit or review of the RTO at any reasonable time:
a) to confirm whether the RTO is complying with this VET Funding Contract;
b) to establish whether and to what extent the Funds have been used for the provision of the Training Services to Eligible Individuals;
c) to investigate allegations or suspected misuse of the Funds; to determine the extent to which the Training Services delivered by the RTO are of high quality; and/or
AUDIT OR REVIEW. The Managers may select public accountants with expertise in the Company’s business to audit or review the books and records of the Company.
AUDIT OR REVIEW. At all times until the end of the term of this Agreement, Empire will allow the Board and its authorized representatives, upon at least seven-days' prior notice to, and in coordination with, the President and Chief Executive Officer of SYN, to audit or review the books of account and records of all kinds kept for SYN, inspect SYN's properties, consult with SYN's personnel and with Empire's personnel involved in Empire's performance of services under this Agreement, and generally to observe and monitor the operation, management and accounting for SYN's business and assets; provided, however, that such review and/or audit shall not last longer than five business days unless Empire is in default under this Agreement. Such reviews shall be restricted to no more than once a month at the home office of SYN, as maintained by Empire, through June 30, 1996 and quarterly thereafter, and unrestricted at all of SYN's retail locations. All reports resulting from these audits or reviews shall be promptly furnished to the Board.
AUDIT OR REVIEW. Any payment is subject to appropriate adjustment if an audit or review demonstrates insufficient or inappropriate documentation to support a claims notification submitted to the Department. Federal HC Agreements 13-14 Amendment - NW & NE Updated October 21, 2013 The Department will establish, administer, and distribute funds from a quarterly High Cost Risk Pool (HCRP). This Appendix 3k is effective July 1, 2013 and supersedes any previous version to define the HCRP for the July-September 2013 quarter and each subsequent quarter. Each quarterly risk pool will be funded through High Cost Risk Pool Allocation Amounts (HCRPAA). After each quarter has ended, each PH-MCO will send the Department a file with information on high cost recipients during a twelve month period defined below. After repricing each inpatient claim to the amount the Department would have paid for the same admission, the Department will sum the amount spent by each PH-MCO in excess of the HCRP Threshold on each recipient for the Defined Twelve Month Period. The Department will distribute the funds in the HCRP in proportion to each PH-MCO’s adjusted expenditures in excess of the HCRP Threshold on all recipients for the Defined Twelve Month Period. The Department’s payment to each PH-MCO will be net of the PH-MCO’s HCRPAA obligation for the quarter. If the PH-MCO’s HCRPAA obligation exceeds its share of the HCRP, the Department will reduce a subsequent payment to the PH-MCO by the amount of the difference. The Department may elect to use PH-MCO encounter data in lieu of HCRP- specific files submitted by the MCOs, in whole or in part. The HCRP Threshold is $80,000. A PH-MCO will participate in a quarterly high cost risk pool if both of the criteria below are met: The Department has made or will make Capitation payments to the PH-MCO for this HealthChoices zone for all three months during the quarter; and The Department has made or will make Capitation payments to the PH-MCO under this Agreement or any other HealthChoices Agreement for this HealthChoices zone for all three months of each of the four previous quarters. The Department will deem this criterion to have been met if it was met by the PH- MCO or by a PH-MCO that operated in the same HealthChoices zone (“Previous PH-MCO”) if one of the following criteria is met: The current PH-MCO purchased the assets or liabilities of the Previous PH- MCO; or The Department transferred substantially all of the Recipients enrolled in the Previ...
AUDIT OR REVIEW. Any payment is subject to appropriate adjustment if an audit or review demonstrates insufficient or inappropriate documentation to support a claims notification submitted to the Department. Federal & State HC Agreements New West Updated March 6, 2012 OVERVIEW OF METHODOLOGIES FOR RATE SETTING AND DETERMINATION OF RISK SHARING WITHHOLD AMOUNTS
I. Rate Setting Methodology #1 – Use of Historical Fee-For-Service Data
II. Rate Setting Methodology #2 – Use of Managed Care Data
III. Rate Setting Methodology #3 – Blending of Fee-For-Service and Managed Care Data