External Review. The MA Organization will comply with any requests by Quality Improvement Organizations to review the MA Organization's medical records in connection with appeals of discharges from hospitals, skilled nursing facilities, and home health agencies.
Appears in 9 contracts
Samples: Contract With Eligible Medicare Advantage Organization (Wellcare Health Plans, Inc.), Contract With Eligible Medicare Advantage Organization (Wellcare Health Plans, Inc.), Contract With Eligible Medicare Advantage Organization (Wellcare Health Plans, Inc.)
External Review. The MA Organization will comply with any requests by Quality Improvement Organizations to review the MA Organization's ’s medical records in connection with appeals of discharges from hospitals, skilled nursing facilities, and home health agencies.
Appears in 5 contracts
Samples: Contract With Eligible Medicare Advantage Organization (HealthSpring, Inc.), Contract With Eligible Medicare Advantage Organization (HealthSpring, Inc.), Contract With Eligible Medicare Advantage Organization (Molina Healthcare Inc)
