Dialysis Access Procedures Sample Sample Clauses

Dialysis Access Procedures Sample. The IRO shall randomly select a sample of 40 Dialysis Access Procedure Paid Claims (Dialysis Access Procedures Sample). The sample must be selected through the use of OIG’s Office of Audit ServicesStatistical Sampling Software, also known as RAT-STATS, which is currently available at xxxxx://xxx.xxx.xxx/compliance/rat-stats/index.asp. Qin shall provide the IRO with a list of all Qin’s Dialysis Access Procedure Paid Claims for the Reporting Period covered by the Dialysis Access Procedures Sample, except those Dialysis Access Procedures performed at St. John’s Episcopal Hospital, Far Rockaway, New York shall not be included in the Dialysis Access Procedures Sample. The IRO should number each Dialysis Access Procedure Paid Claim in the Population sequentially prior to generating the random numbers used to select the Dialysis Access Procedures Sample. The IRO should generate 40 random numbers using RAT-STATS and then use the random numbers to identify the 40 Dialysis Access Procedure Paid Claims in the Population that will be subject to review by the IRO. The randomly selected 40 Dialysis Access Procedure Paid Claims will be reviewed by the IRO based on the supporting documentation available at Qin’s office or under Qin’s control and applicable regulations and guidance, including but not limited to the established practice guidelines described by the Local Coverage Determination for Dialysis Access Maintenance and generally accepted standards of medical practice as described by the American Board of Surgery or Society for Clinical Vascular Surgery, to determine whether each procedure was medically necessary or appropriate. If a Dialysis Access Procedure is found not to be medically necessary or appropriate the Dialysis Access Procedure Paid Claim should be deemed an Overpayment. The IRO shall prepare a written report of its findings from the Dialysis Access Procedures Sample, as described in Section D below (Dialysis Access Procedures Review Report) that will be submitted with Xxx’s Annual Report.
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  • Procurement procedures 11.1 The Recipient must secure the best value for money and shall act in a fair, open and non-discriminatory manner in all purchases of goods and services.

  • Quality Control Procedures The Seller shall have an internal quality control program that verifies, on a regular basis, the existence and accuracy of the legal documents, credit documents, property appraisals, and underwriting decisions. The program shall include evaluating and monitoring the overall quality of the Seller's loan production and the servicing activities of the Seller. The program is to ensure that the Mortgage Loans are originated and serviced in accordance with Accepted Servicing Standards and the Underwriting Guidelines; guard against dishonest, fraudulent, or negligent acts; and guard against errors and omissions by officers, employees, or other authorized persons.

  • Test Procedures For an Asset Review, the Asset Representations Reviewer will perform for each Asset Review Receivable the procedures listed under “Procedures to be Performed” in Schedule A for each representation and warranty (each, a “Test”), using the Asset Review Materials listed for each such Test in Schedule A. For each Test and Asset Review Receivable, the Asset Representations Reviewer will determine if the Test has been satisfied (a “Test Pass”) or if the Test has not been satisfied (a “Test Fail”).

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