Certification of Data and Information. A. With respect to data and information generated or submitted to CMS by the ACO, Participant Providers, Preferred Providers, or other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, the ACO shall ensure that an individual with the authority to legally bind the individual or entity submitting such data or information certifies the accuracy, completeness, and truthfulness of that data and information to the best of his or her knowledge, information, and belief. B. At the end of each Performance Year, an individual with the legal authority to bind the ACO must certify to the best of his or her knowledge, information, and belief: 1. That the ACO, its Participant Providers, its Preferred Providers, and other individuals or entities performing functions or services related to ACO Activities or Marketing Activities are in compliance with Model requirements; and 2. The accuracy, completeness, and truthfulness of all data and information that are generated or submitted by the ACO, Participant Providers, Preferred Providers, or other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, including any quality data or other information or data relied upon by CMS in determining the ACO’s eligibility for, and the amount of Shared Savings, or the amount of Shared Losses or Other Monies Owed.
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Samples: Participation Agreement, Participation Agreement, Participation Agreement
Certification of Data and Information.
A. With respect to data and information generated or submitted to CMS by the ACO, Participant Providers, Preferred Providers, or other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, the ACO shall ensure that an individual with the authority to legally bind the individual or entity submitting such data or information certifies the accuracy, completeness, and truthfulness of that data and information to the best of his or her knowledge, information, and belief.
B. At the end of each Performance Year, an individual with the legal authority to bind the ACO must certify to the best of his or her knowledge, information, and belief:
1. That the ACO, its Participant Providers, its Preferred Providers, and other individuals or entities performing functions or services related to ACO Activities or Marketing Activities are in compliance with Model requirements; and
2. The accuracy, completeness, and truthfulness of all data and information that are generated or submitted by the ACO, Participant Providers, Preferred Providers, or other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, including any quality data or other information or data relied upon by CMS in determining the ACO’s eligibility for, and the amount of Shared Savings, or the amount of Shared Losses or Other Monies Owed.
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