Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 2 contracts
Sources: Integrity Agreement, Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Practitioner’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 2 contracts
Sources: Integrity Agreement, Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ SPI’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ LabTox’s claims submitted to and reimbursed by the Medicare Medicare, Medicaid, and Medicaid programs, Managed Care programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Practitioner’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ ’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Foot Healers’ claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programsprograms by or on behalf of ▇▇. ▇▇▇▇▇ and the Cancer Centers, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of claims submitted by or on behalf of OC and ▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ MMW’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Gardi’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ ▇’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇. ▇▇▇▇’▇▇▇▇ and Fleckner, P.C.’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Clinic’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Align’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Gonzaga’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇▇ Clinic’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ claims submitted by or on behalf of Dr. Uradu and UTC to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇. ▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇. ▇▇▇▇▇▇▇▇’▇ coding, billing, and claims submitted submission to and reimbursed by the Medicare and state Medicaid programs, to determine whether programs and the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed reimbursement received for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ the Practice’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ OGCC’s claims submitted to and reimbursed by the Medicare Medicare, Medicaid, and Medicaid programs, Managed Care programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇. ▇▇▇▇’▇ ▇▇▇▇▇▇- AFAS’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Princeton Pathology’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Bhayani’s claims submitted to and reimbursed by the Medicare Medicare, any state Medicaid program, and any Medicaid programsmanaged care organization, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ EPIPG’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇. ▇▇▇▇’▇▇-▇▇▇▇▇▇ D.P.M.’s claims submitted to and reimbursed by the Medicare and Medicaid programsprogram, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary necessary, properly supervised, and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ LHMC’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ GLML’s claims submitted to and reimbursed by the Medicare Medicare, Medicaid, and Medicaid programs, Managed Care programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ the Covered Entities’ claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ CBHA’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇. ▇▇▇▇’▇ and Interventional Cardiology’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Kumar’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ MPG’s claims submitted to and reimbursed by the Medicare Medicare, Medicaid and Medicaid programs, TRICARE programs to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Kelly’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Pharmacy’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of PC, ▇▇▇▇▇▇’▇ , and Bandar’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Springfield’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programsprograms by or on behalf of ▇▇. ▇▇▇▇▇▇ and MRA, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇. ▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programsJCA’s coding, to determine whether the items and services furnished were medically necessary and appropriately documentedbilling, and whether claims submission to the claims were correctly codedFederal health care programs and the reimbursement received for procedures performed by ▇▇. ▇▇▇▇▇, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ Dr. Muttath’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ DLDC’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇▇▇▇▇’▇ FHG’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.Review.
Appears in 1 contract
Sources: Integrity Agreement
Claims Review. The IRO shall conduct a review of ▇▇. ▇▇▇▇▇▇▇▇’▇ claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.
Appears in 1 contract
Sources: Integrity Agreement