Common use of Disclosure of Records Clause in Contracts

Disclosure of Records. (a) Group and each Group Provider shall comply with all provisions of the Omnibus Reconciliation Act of 1980 regarding access to books, documents, and records. Without limiting the foregoing, Group shall maintain such records and provide such information to Blue Shield as well as to DMHC, CMS, any Peer Review Organization (“PRO”) with which Blue Shield contracts as required by CMS, the U.S. Comptroller General, their designees and any other governmental officials entitled to such access by law (collectively, “Governmental Officials”) as required by law and as may be necessary for compliance by Blue Shield with the provisions of all state and federal laws governing Blue Shield. Blue Shield and Government Officials shall have access to, and copies of, at reasonable time upon request, the medical records, books, charts, and papers relating to the Provider’s provision of health care services to Members, the cost of such services, and payment received by the Provider from the Member (or from others on their behalf), and to the financial condition of the provider. Such records described herein shall be maintained at least six (6) years from the end of each Agreement Year, and, if this Agreement is applicable to Blue Shield 65 Plus, six (6) years from the close of CMS’ fiscal year in which the contract was in effect (or for a particular record or group of records, a longer time period when or DMHC requests such longer record retention and Group is notified of such request by Blue Shield), and in no event for a shorter period than as may be required by the Xxxx-Xxxxx Act and the regulations promulgated thereunder. All records of Group/Providers shall be maintained in accordance with the general standards applicable to such book or record keeping and shall be maintained during any governmental audit or investigation.

Disclosure of Records. (a) Group and each Group Provider shall comply with all provisions of the Omnibus Reconciliation Act of 1980 regarding access to books, documents, and records. Without limiting the foregoing, Group shall maintain such records and provide such information to Blue Shield as well as to DMHC, CMS, any Peer Review Organization (“PRO”) with which Blue Shield contracts as required by CMSbyCMS, the U.S. Comptroller General, their designees and any other governmental officials entitled to such access by law (collectively, “Governmental Officials”) as required by law and as may be necessary for compliance by Blue Shield with the provisions of all state and federal laws governing Blue Shield. Blue Shield and Government Officials shall have access to, and copies of, at reasonable time upon request, the medical records, books, charts, and papers relating to the Provider’s provision of health care services to Members, the cost of such services, and payment received by the Provider from the Member (or from others on their behalf), and to the financial condition of the provider. Such records described herein shall be maintained at least six (6) years from the end of each Agreement Year, and, if this Agreement is applicable to Blue Shield 65 Plus, six (6) years from the close of CMS’ fiscal year in which the contract was in effect (or for a particular record or group of records, a longer time period when or DMHC requests such longer record retention and Group is notified of such request by Blue Shield), and in no event for a shorter period than as may be required by the Xxxx-Xxxxx Act and the regulations promulgated thereunder. All records of Group/Providers shall be maintained in accordance with the general standards applicable to such book or record keeping and shall be maintained during any governmental audit or investigation.

Disclosure of Records. (a) Group and each Group Provider shall comply with all provisions of the Omnibus Reconciliation Act of 1980 regarding access to books, documents, and records. Without limiting the foregoing, Group shall maintain such records and provide such information to Blue Shield as well as to DMHC, CMS, any Peer Review Organization (“PRO”) with which Blue Shield contracts as required by CMS, the U.S. Comptroller General, their designees and any other governmental officials entitled to such access by law (collectively, “Governmental Officials”) as required by law and as may be necessary for compliance by Blue Shield with the provisions of all state and federal laws governing Blue Shield. Blue Shield and Government Officials shall have access to, and copies of, at reasonable time upon request, the medical records, books, charts, and papers relating to the Provider’s provision of health care services to Members, the cost of such services, and payment received by the Provider from the Member (or from others on their behalf), and to the financial condition of the provider. Such records described herein shall be maintained at least six (6) years from the end of each Agreement Year, and, if this Agreement is applicable to Blue Shield 65 PlusPlus , six (6) years from the close of CMS’ fiscal year in which the contract was in effect (or for a particular record or group of records, a longer time period when or DMHC requests such longer record retention and Group is notified of such request by Blue Shield), and in no event for a shorter period than as may be required by the XxxxKxxx-Xxxxx Act and the regulations promulgated thereunder. All records of Group/Providers shall be maintained in accordance with the general standards applicable to such book or record keeping and shall be maintained during any governmental audit or investigation.