Error Rate. The Error Rate shall be the percentage of net Overpayments identified in the sample. The net Overpayments shall be calculated by subtracting all underpayments identified in the sample from all gross Overpayments identified in the sample. (Note: Any potential cost settlements or other supplemental payments should not be included in the net Overpayment calculation. Rather, only underpayments identified as part of the Discovery Sample shall be included as part of the net Overpayment calculation.) The Error Rate is calculated by dividing the net Overpayment identified in the sample by the total dollar amount associated with the Paid Claims in the sample.
Error Rate. Seller shall at all times maintain an Error Rate as set forth in the Pricing Side Letter.
Error Rate. Although the Contractor shall submit the case file to the SFWIB electronically only, the Contractor shall maintain a hard copy for prior years’ case files and electronic copy (all new case files) of each participant case file and maintain, at all times, a file maintenance error rate of not more than three percent (3%). Error Rate is defined as the percentage of findings from the quality assurance review of sampled programmatic participant files, utilizing the Supervisory Quality Assurance Case Reviews tool that can be accessed through the link provided below: xxxx://xxxxxxxxxx.xxxxxxxxxxxxxxx.xxx/sites/web/Shared%20Documents/Forms/AllItems.aspx?RootFo lder=%2fsites%2fweb%2fShared%20Documents%2fContract%20Documents&FolderCTID=&View =%7b8A472CAA%2dE65A%2d4E10%2d9209%2d566E1C03E6BB%7d Failure to strictly comply with this provision shall result in financial consequences as set forth in Exhibit AA, Article IV-Operational Requirements, Section C-Quality Assurance, Item B-7.
Error Rate. Seller shall at all times maintain an Error Rate of less than the Maximum Error Rate. If the Error Rate equals or exceeds the Maximum Error Rate at any time, Purchaser shall have the option, exercisable in its sole discretion, to reduce the Purchase Price for future transactions hereunder
Error Rate. The Error Rate for the Admissions Review shall be the percentage of Medicare beneficiaries in the Admissions Review determined to be ineligible for the hospice benefit. The Error Rate for the Long Length of Stay Review shall be the percentage of Medicare beneficiaries in the Long Length of Stay determined to be ineligible for the hospice benefit.
Error Rate. The Error Rate shall be the percentage of Prescriptions that were not dispensed in accordance with the applicable provisions of the Controlled Substances Act, state statutes, and federal and state regulations and guidance, based on the supporting documentation available. The Error Rate is calculated by dividing the number of Prescriptions within a Discovery Sample or within a Full Sample, as applicable, that were not dispensed in accordance with the applicable provisions of the Controlled Substances Act, state statutes, and federal and state regulations and guidance, based on the supporting documentation available, by the number of Prescriptions in the Discovery Sample or in the Full Sample, as applicable.
Error Rate. The Error Rate shall be the percentage of net ---------- overpayments identified in the sample. The Error Rate is calculated by dividing the net Overpayment identified in the sample by the total dollar amount associated with the Items in the sample. If Rotech is permitted to perform the Claims Review internally with the IRO verification, the following payment errors should be included in calculating the error rate: (i) all payment errors identified by Rotech and not verified by the IRO; (ii) all payment errors identified by Rotech and verified by the IRO; and (iii) all payment errors identified by the IRO and not identified by Rotech.
Error Rate. The Error Rate shall be the percentage of net Overpayments identified in the sample. The net Overpayments shall be calculated by subtracting all underpayments identified in the sample from all gross Corporate Integrity Agreement between the Office of Inspector General and Sorkin’s Rx Ltd. d/b/a CareMed Pharmaceutical Services Overpayments identified in the sample. (Note: Any potential cost settlements or other supplemental payments should not be included in the net Overpayment calculation. Rather, only underpayments identified as part of the Discovery Sample shall be included as part of the net Overpayment calculation.)
Error Rate. The actual error rate achieved in ppm is calculated as follows: 𝐹𝑒ℎ𝑙𝑒𝑟ℎ𝑎𝑓𝑡𝑒 Xxxxx ∗ 1.000.000 𝑊𝑎𝑟𝑒𝑛𝑒𝑖𝑛𝑔��𝑛𝑔𝑠𝑚𝑒𝑛𝑔𝑒 The goods receipt quantity is the sum of all products of this agreement delivered to the organization within the period considered. Subsequent deliveries or re-deliveries resulting from complaints from the organization to the supplier, so-called Q2 reports, are not considered. The data basis is all goods movements registered in the SAP system with the organization with the supplier. A data comparison with the supplier takes place at least annually, but possibly also every quarter by the respective department. The complaint quantity (defective quantity) is the sum of all products detected within the period under consideration in one or more quality characteristics from the contractually agreed characteristics, in particular the contractual specifications of the organization, e.g., the orders and the order texts mentioned therein, the drawings provided or other further technical delivery conditions. If no agreement can be reached on the existence of a complaint to be recognised for individual products complained of, this shall be done at the end of the year in a regular discussion between the parties or, if necessary, during the year. If the supplier proactively recalls products for inspection and the production process of the organization and customers of the organization is not disturbed or comes to a standstill, these will not be considered as a complaint. If there is a possibility that there is a complaint not only about one part, but also about other parts in the warehouse of the organization, the organization is entitled to inspect the entire stock of the product concerned at the expense of the supplier itself, by the supplier or third parties.
Error Rate. The percentage of Third-Party Liability Claims randomly selected by the IRO for review that were improperly rejected (i.e., no valid basis for rejecting the Third-Party Liability Claim) or paid in an incorrect amount. For purposes of determining an Error Rate, a Third-Party Liability Claim that contains an incorrect rejection reason or code, but that would have otherwise been appropriately rejected due to another reason that can be verified, does not constitute an “improperly rejected” Third-Party Liability Claim.
