Common use of Fraud/Abuse and Office Visits Clause in Contracts

Fraud/Abuse and Office Visits. Upon the request of the CMS, the DHHS, the MAP, or any appropriate external review organization or regulatory agency (“Oversight Entities”) PROVIDER shall make available for audit, all administrative, financial, medical, and all other records that relate to the delivery of items or services under this Agreement. PROVIDER shall provide all such access to the aforementioned records in the form and format requested and at no cost to XXXXX and/or to the requesting Oversight Entity. Further, the PROVIDER shall cooperate with and allow such Oversight Entities access to these records during normal business hours, except under special circumstances when PROVIDER shall permit after hour access. PROVIDER shall cooperate with all office visits made by XXXXX or any Oversight Entity.

Appears in 3 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement

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Fraud/Abuse and Office Visits. Upon the request of the CMS, the DHHS, the MAP, or any appropriate external review organization or regulatory agency (“Oversight Entities”) PROVIDER shall make available for audit, audit all administrative, financial, medical, and all other records that relate to the delivery of items or services under this Agreement. PROVIDER shall provide all such access to the aforementioned records in the form and format requested and at no cost to XXXXX and/or to the requesting Oversight Entity. Further, the PROVIDER shall cooperate with and allow such Oversight Entities access to these records during normal business hours, except under special circumstances when PROVIDER shall permit after hour after-hours access. PROVIDER shall cooperate with all office visits made by XXXXX or any Oversight Entity.

Appears in 2 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement

Fraud/Abuse and Office Visits. Upon the request of the CMS, the DHHS, the MAP, or any other appropriate external review organization or regulatory agency (“Oversight Entities”) PROVIDER shall make available for audit, all administrative, financial, medical, and all other records that relate to the delivery of items or services under this Agreement. PROVIDER shall provide all such access to the aforementioned records in the form and format requested and at no cost to XXXXX and/or to the requesting Oversight Entity. Further, the PROVIDER shall cooperate with and allow such Oversight Entities access to these records during normal business hours, except under special circumstances when PROVIDER shall permit access after hour accessnormal business hours. PROVIDER shall cooperate with all office visits made by XXXXX or any Oversight Entity.

Appears in 1 contract

Samples: Participating Provider Agreement

Fraud/Abuse and Office Visits. Upon the request of the CMS, the DHHS, the MAP, or any other appropriate external review organization or regulatory agency (“Oversight Entities”) PROVIDER shall make available for audit, all administrative, financial, medical, and all other records that relate to the delivery of items or services under this Agreement. PROVIDER shall provide all such access to the aforementioned records in the form and format requested and at no cost to XXXXX and/or to the requesting Oversight Entity. Further, the PROVIDER shall cooperate with and allow such Oversight Entities access to these records during normal business hours, except under special circumstances when PROVIDER shall permit after hour after-hours access. PROVIDER shall cooperate with all office visits made by XXXXX or any Oversight Entity.

Appears in 1 contract

Samples: Participating Provider Agreement

Fraud/Abuse and Office Visits. Upon the request of the CMS, the DHHS, the MAP, or any other appropriate external review organization or regulatory agency (“Oversight Entities”) PROVIDER shall make available for audit, all administrative, financial, medical, and all other records that relate to the delivery of items or services under this Agreement. PROVIDER shall provide all such access to the aforementioned records in the form and format requested and at no cost to XXXXX and/or to the requesting Oversight Entity. Further, the PROVIDER shall cooperate with and allow such Oversight Entities access to these records during normal business hours, except under special circumstances when PROVIDER shall permit after hour hours access. PROVIDER shall cooperate with all office visits made by XXXXX or any Oversight Entity.

Appears in 1 contract

Samples: davisvision.com

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Fraud/Abuse and Office Visits. Upon the request of the CMS, the DHHS, the DHMH/MAP, or any appropriate external review organization or regulatory agency (“Oversight Entities”) PROVIDER shall make available for audit, all administrative, financial, medical, and all other records that relate to the delivery of items or services under this Agreement. PROVIDER shall provide all such access to the aforementioned records in the form and format requested and at no cost to XXXXX and/or to the requesting Oversight Entity. Further, the PROVIDER shall cooperate with and allow such Oversight Entities access to these records during normal business hours, except under special circumstances when PROVIDER shall permit after hour hours access. PROVIDER shall cooperate with all office visits made by XXXXX or any Oversight Entity.

Appears in 1 contract

Samples: Participating Provider Agreement

Fraud/Abuse and Office Visits. Upon the request of the CMS, the DHHS, the MAP, DOH, LDSS or any appropriate external review organization or regulatory agency (“Oversight Entities”) PROVIDER shall make available for audit, all administrative, financial, medical, and all other records that relate to the delivery of items or services under this Agreement. PROVIDER shall provide all such access to the aforementioned records in the form and format requested and at no cost to XXXXX and/or to the requesting Oversight Entity, and in the form and format requested. Further, the PROVIDER shall cooperate with and allow such Oversight Entities access to these records during normal business hours, except under special circumstances when PROVIDER shall permit after hour hours access. PROVIDER shall cooperate with all office visits made by XXXXX or any Oversight Entity.

Appears in 1 contract

Samples: Participating Provider Agreement

Fraud/Abuse and Office Visits. Upon the request of the CMS, the DHHS, the MAP, ODJFS or any other appropriate external review organization or regulatory agency (“Oversight Entities”) PROVIDER shall make available for audit, all administrative, financial, medical, and all other records that relate to the delivery of items or services under this Agreement. PROVIDER shall provide all such access to the aforementioned records in the form and format requested and at no cost to XXXXX and/or to the requesting Oversight Entity. Further, the PROVIDER shall cooperate with and allow such Oversight Entities access to these records during normal business hours, except under special circumstances when PROVIDER shall permit after hour after-hours access. PROVIDER shall cooperate with all office visits made by XXXXX or any Oversight Entity.

Appears in 1 contract

Samples: Participating Provider Agreement

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