Common use of Frequency Description Clause in Contracts

Frequency Description. Claims Administration Report Monthly – by the 10th of the month following the previous month and as required by state and federal law. Detailed reports showing potential fraud and abuse cases, health insurance premium amounts for W2 reporting, Affordable Care Act (ACA) compliance reports (Forms 1094 and 1095) and filing of reports on behalf of the Board as required by federal and state law. Claim Turnaround Time/Claims Lag Report Monthly – by the 10th of the month following the previous month Detailed report showing of the date the claim is received and the date the claim is processed. Top Payment Reports Monthly – by the 10th of the month following the previous month Detailed reports on the following by payment: • Top 20 Patients • Top 20 Hospitals (Inpatient) • Top 20 Hospitals (Outpatient) • Top 20 DRGs • Top 20 Physicians/Medical Providers • Top 20 Surgical Procedures • Top 100 Surgical Procedures Claims Detail Report Weekly – by the first business day following the EOW of week reported Detailed report showing weekly claim payments made. This report should include current and prior year rolling average claim payments made. Also, current and prior year claims volume. Medicare Secondary Payer (MSP) Report Weekly – by the first business day following the EOW of week reported Detailed report of current status of MSP cases. Pended Claims Report Weekly – by the first business day following the EOW of week reported Detailed report to include number of claims pended, pend code reasons/descriptions and timeframe of pends. Claims QA Report Monthly – by the 10th of the month following the previous month Detailed report of all claims processing errors identified as a result of vendor’s internal QA review. Appeals Report Monthly – by the 10th of the month following the previous month Detailed report which includes the following appeals details: • Receipt Date, • Completion Date, • Turnaround time (TAT), • Appeal Reason, • Appeal Outcome, and • Type of Appeal. Prior Authorization Request Report Monthly – by the 10th of the month following the Detailed report providing authorizations requested and reviewed by the vendor’s medical review staff. previous month Coordination of Benefits (COB) & Subrogation Activity Report Monthly – by the 10th of the month following the previous month Detailed report of COB and subrogation activity on a monthly basis. Customer Service Telephone Call Report Monthly – by the 10th of the month following the previous month Detailed customer service telephone call report to include, but not limited to: • Number of calls • Call answer time • Telephone drop rate • Reason for call list • Hold time Customer Service QA Report Monthly – by the 10th of the month following the previous month Detailed report of all customer service errors identified as a result of vendor’s QA review. Telemedicine Utilization Report Monthly – by the 10th of the month following the previous month Detailed report of participant telemedicine utilization for all providers. Field Rep Activity Report Monthly – by the 10th of the month following the previous month Detailed report of all activities completed by field reps. This report should include all visits, conferences, and any other field activity performed by the field reps. Network Access Report Quarterly – 30 calendar days after the quarter ends Semi-Annually of results as of June 30th due by July 31st & results as of December 31st due by January 31st Detailed reports provided which confirm in-state network access. Provider Network Inquiry Report Quarterly – 30 calendar days after the quarter ends Detailed report of inquiries from providers and participants concerning the provider network. Provider Network Manager Report Monthly – by the 10th of the month following the previous month Detailed report of provider network manager activity to include contracted providers activity, network performance and claims analysis. Network Provider Hospital Privileges Report Quarterly – 30 calendar days after the quarter ends Detailed report of network providers who do not have admitting privileges at a participating hospital. Provider and Participant Complaint Resolution Report Quarterly – 30 calendar days after the quarter ends Detailed summary tracking participant and provider inquiries or complaints and resolutions and timeframe for resolution. Provider Performance Monitoring Report Quarterly – 30 calendar days after the quarter ends Detailed report of utilization and cost trends, incidents of quality issues and/or non-compliance with medical management protocols and outcomes of implemented corrective action plans. Participant Satisfaction Annually Summary of participant survey responses completed. Survey Report Provider Satisfaction Survey Report Annually Summary of provider survey responses completed. Hospital DRG Validations and Charge/Xxxx Audits Finding Report Monthly – by the 30th of the month following the previous month Detailed report showing hospital DRG validations, charge/xxxx audits and professional xxxx audits within one (1) year from the day the claim was processed in a format approved by the Board. Year-End Hospital DRG Validations and Charge/Xxxx Audits Finding Report Annually Detailed report including the number of claims processed in the year, the number of claims audited in the year, the number and percentage of claims audited where the audits were initiated within 365 days, and the number and percentage of claims audited where the audits were not initiated within 365 days.

Frequency Description. Claims Administration Report Monthly – by the 10th of the month following the previous month and as required by state and federal law. Detailed reports showing potential fraud and abuse cases, health insurance premium amounts for W2 reporting, Affordable Care Act (ACA) compliance reports (Forms 1094 and 1095) and filing of reports on behalf of the Board as required by federal and state law. Claim Turnaround Time/Claims Lag Report Monthly – by the 10th of the month following the previous month Detailed report showing of the date the claim is received and the date the claim is processed. Top Payment Reports Monthly – by the 10th of the month following the previous month Detailed reports on the following by payment: • Top 20 Patients • Top 20 Hospitals (Inpatient) • Top 20 Hospitals (Outpatient) • Top 20 DRGs • Top 20 Physicians/Medical Providers • Top 20 Surgical Procedures • Top 100 Surgical Procedures Claims Detail Report Weekly – by the first business day following the EOW of week reported Detailed report showing weekly claim payments made. This report should include current and prior year rolling average claim payments made. Also, current and prior year claims volume. Medicare Secondary Payer (MSP) Report Weekly – by the first business day following the EOW of week reported Detailed report of current status of MSP cases. Pended Claims Report Weekly – by the first business day following the EOW of week reported Detailed report to include number of claims pended, pend code reasons/descriptions and timeframe of pends. Claims QA Report Monthly – by the 10th of the month following the previous month Detailed report of all claims processing errors identified as a result of vendor’s internal QA review. Appeals Report Monthly – by the 10th of the month following the previous month Detailed report which includes the following appeals details: • Receipt Date, • Completion Date, • Turnaround time (TAT), • Appeal Reason, • Appeal Outcome, and • Type of Appeal. Prior Authorization Request Report Monthly – by the 10th of the month following the Detailed report providing authorizations requested and reviewed by the vendor’s medical review staff. previous month Coordination of Benefits (COB) & Subrogation Activity Report Monthly – by the 10th of the month following the previous month Detailed report of COB and subrogation activity on a monthly basis. Customer Service Telephone Call Report Monthly – by the 10th of the month following the previous month Detailed customer service telephone call report to include, but not limited to: • Number of calls • Call answer time • Telephone drop rate • Reason for call list • Hold time Customer Service QA Report Monthly – by the 10th of the month following the previous month Detailed report of all customer service errors identified as a result of vendor’s QA review. Telemedicine Utilization Report Monthly – by the 10th of the month following the previous month Detailed report of participant telemedicine utilization for all providers. Field Rep Activity Report Monthly – by the 10th of the month following the previous month Detailed report of all activities completed by field reps. This report should include all visits, conferences, and any other field activity performed by the field reps. Network Access Report Quarterly – 30 calendar days after the quarter ends Semi-Annually of results as of June 30th due by July 31st & results as of December 31st due by January 31st Detailed reports provided which confirm in-state network access. Provider Network Inquiry Report Quarterly – 30 calendar days after the quarter ends Detailed report of inquiries from providers and participants concerning the provider network. Provider Network Manager Report Monthly – by the 10th of the month following the previous month Detailed report of provider network manager activity to include contracted providers activity, network performance and claims analysis. Network Provider Hospital Privileges Report Quarterly – 30 calendar days after the quarter ends Detailed report of network providers who do not have admitting privileges at a participating hospital. Provider and Participant Complaint Resolution Report Quarterly – 30 calendar days after the quarter ends Detailed summary tracking participant and provider inquiries or complaints and resolutions and timeframe for resolution. Provider Performance Monitoring Report Quarterly – 30 calendar days after the quarter ends Detailed report of utilization and cost trends, incidents of quality issues and/or non-compliance with medical management protocols and outcomes of implemented corrective action plans. Participant Satisfaction Annually Summary of participant survey responses completed. Survey Report Provider Satisfaction Survey Report Annually Summary of provider survey responses completed. Hospital DRG Validations and Charge/Xxxx Bill Audits Finding Report Monthly – by the 30th of the month following the previous month Detailed report showing hospital DRG validations, charge/xxxx bill audits and professional xxxx bill audits within one (1) year from the day the claim was processed in a format approved by the Board. Year-End Hospital DRG Validations and Charge/Xxxx Bill Audits Finding Report Annually Detailed report including the number of claims processed in the year, the number of claims audited in the year, the number and percentage of claims audited where the audits were initiated within 365 days, and the number and percentage of claims audited where the audits were not initiated within 365 days.

Frequency Description. Claims Administration Report Monthly – by the 10th Daily Supervision Daily supervision of staff personnel on each shift Daily Management Daily reviews of the month following the previous month and as required site by state and federal law. Detailed reports showing potential fraud and abuse casesour Site Manager, health insurance premium amounts for W2 reporting, Affordable Care Act (ACA) compliance reports (Forms 1094 and 1095) and filing of reports on behalf Xxxxxxxx Xxxxx Monthly Site Audits Monthly audits of the Board as required site by federal our Operations Director, Xxxx Xxxxxx and state law. Claim Turnaround Time/Claims Lag Report Site Manager, Xxxxxxxx Xxxxx Monthly – by the 10th VP Inspections Monthly tour & inspection of the month following site by our Vice President of Operations, Xx Xxxxxxxxx and report back to Airport Contacts FREQUENCY DESCRIPTION Quarterly Inspection ■ Formal Quality Audit completed by our off-site Inspector utilizing our proprietary Inspection System. This $20,000 plus annual value has been INCLUDED in our proposal at no additional cost ■ The Reporting INCLUDES both JANITORIAL and FACILITY defect reporting ■ Scores are charted & trends analyzed ■ Provided to your management representative. Flagship’s Proprietary Web-based Inspection System Flagship Inspection Reports Reporting can be generated in numerous ways to show you the previous month Detailed report showing information you require. Data can be helpful in establishing base line levels, areas of improvement, statistics on satisfaction and can be used for overall reporting information to the numerous JWA stakeholders that have an interest in the Airport’s cleanliness and budget. Sample reports are included in the Flagship Proposal. Work Orders The demands put on the modern day Facility Manager include a constant flow of service requests. Our fully electronic work order system enables to you to request, implement, and track services. You can handle or oversee every aspect, or let us take care of the date entire process; entering, completing, and reporting back on specific service requests. Periodic Work Orders Periodic work is defined as tasks scheduled less frequently than weekly, such as monthly, or semi- annually. If these tasks are not completed on schedule, customers can be paying for services they don’t receive. Additionally, deficiencies due to unfilled period work orders can detract from the claim is received and the date the claim is processed. Top Payment Reports Monthly – by the 10th appearance of the month following site or building. We use a proven web-based system for our periodic work orders and schedules to guarantee customers receive cleaning services at their contracted frequencies. We input the previous month Detailed reports on periodic tasks at the following by payment: • Top 20 Patients • Top 20 Hospitals (Inpatient) • Top 20 Hospitals (Outpatient) • Top 20 DRGs • Top 20 Physicians/Medical Providers • Top 20 Surgical Procedures • Top 100 Surgical Procedures Claims Detail Report Weekly – by start of the first business day following agreement and generate the EOW schedule to be followed. For example, our detail floor crew will machine scrub your restroom floors in January, March, June, and September. The system then generates updates and reminders for our crews to follow. Your Customer Service Manager drives and monitors the completion of week reported Detailed report showing weekly claim payments made. This report should include current these services, and prior year rolling average claim payments made. Also, current and prior year claims volume. Medicare Secondary Payer (MSP) Report Weekly – by keeps you informed of the first business day following the EOW of week reported Detailed report of current status of MSP cases. Pended Claims Report Weekly – by the first business day following the EOW of week reported Detailed report to include number of claims pended, pend code reasons/descriptions and timeframe of pends. Claims QA Report Monthly – by the 10th of the month following the previous month Detailed report of all claims processing errors identified as a result of vendor’s internal QA review. Appeals Report Monthly – by the 10th of the month following the previous month Detailed report which includes the following appeals details: • Receipt Date, • Completion Date, • Turnaround time (TAT), • Appeal Reason, • Appeal Outcome, and • Type of Appeal. Prior Authorization Request Report Monthly – by the 10th of the month following the Detailed report providing authorizations requested and reviewed by the vendor’s medical review staff. previous month Coordination of Benefits (COB) & Subrogation Activity Report Monthly – by the 10th of the month following the previous month Detailed report of COB and subrogation activity on a monthly basis. Customer Service Telephone Call Report Monthly – by the 10th of the month following the previous month Detailed customer service telephone call report to include, but not limited to: • Number of calls • Call answer time • Telephone drop rate • Reason for call list • Hold time Customer Service QA Report Monthly – by the 10th of the month following the previous month Detailed report of all customer service errors identified as a result of vendor’s QA review. Telemedicine Utilization Report Monthly – by the 10th of the month following the previous month Detailed report of participant telemedicine utilization for all providers. Field Rep Activity Report Monthly – by the 10th of the month following the previous month Detailed report of all activities completed by field reps. This report should include all visits, conferences, and any other field activity performed by the field reps. Network Access Report Quarterly – 30 calendar days after the quarter ends Semi-Annually of results as of June 30th due by July 31st & results as of December 31st due by January 31st Detailed reports provided which confirm in-state network access. Provider Network Inquiry Report Quarterly – 30 calendar days after the quarter ends Detailed report of inquiries from providers and participants concerning the provider network. Provider Network Manager Report Monthly – by the 10th of the month following the previous month Detailed report of provider network manager activity to include contracted providers activity, network performance and claims analysis. Network Provider Hospital Privileges Report Quarterly – 30 calendar days after the quarter ends Detailed report of network providers who do not have admitting privileges at a participating hospital. Provider and Participant Complaint Resolution Report Quarterly – 30 calendar days after the quarter ends Detailed summary tracking participant and provider inquiries or complaints and resolutions and timeframe for resolution. Provider Performance Monitoring Report Quarterly – 30 calendar days after the quarter ends Detailed report of utilization and cost trends, incidents of quality issues and/or non-compliance with medical management protocols and outcomes of implemented corrective action plans. Participant Satisfaction Annually Summary of participant survey responses completed. Survey Report Provider Satisfaction Survey Report Annually Summary of provider survey responses completed. Hospital DRG Validations and Charge/Xxxx Audits Finding Report Monthly – by the 30th of the month following the previous month Detailed report showing hospital DRG validations, charge/xxxx audits and professional xxxx audits within one (1) year from the day the claim was processed in a format approved by the Board. Year-End Hospital DRG Validations and Charge/Xxxx Audits Finding Report Annually Detailed report including the number of claims processed in the year, the number of claims audited in the year, the number and percentage of claims audited where the audits were initiated within 365 days, and the number and percentage of claims audited where the audits were not initiated within 365 dayseach task.

Frequency Description. Claims Administration Report Monthly – by the 10th Daily Supervision Daily supervision of staff personnel on each shift Daily Management Daily reviews of the month following the previous month and as required site by state and federal law. Detailed reports showing potential fraud and abuse casesour Site Manager, health insurance premium amounts for W2 reporting, Affordable Care Act (ACA) compliance reports (Forms 1094 and 1095) and filing of reports on behalf Xxxxxxxx Xxxxx Monthly Site Audits Monthly audits of the Board as required site by federal our Operations Director, Xxxx Xxxxxx and state law. Claim Turnaround Time/Claims Lag Report Site Manager, Xxxxxxxx Xxxxx Monthly – by the 10th VP Inspections Monthly tour & inspection of the month following site by our Vice President of Operations, Xx Xxxxxxxxx and report back to Airport Contacts FREQUENCY DESCRIPTION Quarterly Inspection ■ Formal Quality Audit completed by our off-site Inspector utilizing our proprietary Inspection System. This $20,000 plus annual value has been INCLUDED in our proposal at no additional cost ■ The Reporting INCLUDES both JANITORIAL and FACILITY defect reporting ■ Scores are charted & trends analyzed ■ Provided to your management representative. Flagship’s Proprietary Web-based Inspection System Flagship Inspection Reports Reporting can be generated in numerous ways to show you the previous month Detailed report showing information you require. Data can be helpful in establishing base line levels, areas of improvement, statistics on satisfaction and can be used for overall reporting information to the numerous JWA stakeholders that have an interest in the Airport’s cleanliness and budget. Sample reports are included in the Flagship Proposal. Work Orders The demands put on the modern day Facility Manager include a constant flow of service requests. Our fully electronic work order system enables to you to request, implement, and track services. You can handle or oversee every aspect, or let us take care of the date entire process; entering, completing, and reporting back on specific service requests. Periodic Work Orders Periodic work is defined as tasks scheduled less frequently than weekly, such as monthly, or semi-annually. If these tasks are not completed on schedule, customers can be paying for services they don’t receive. Additionally, deficiencies due to unfilled period work orders can detract from the claim is received and the date the claim is processed. Top Payment Reports Monthly – by the 10th appearance of the month following site or building. We use a proven web-based system for our periodic work orders and schedules to guarantee customers receive cleaning services at their contracted frequencies. We input the previous month Detailed reports on periodic tasks at the following by payment: • Top 20 Patients • Top 20 Hospitals (Inpatient) • Top 20 Hospitals (Outpatient) • Top 20 DRGs • Top 20 Physicians/Medical Providers • Top 20 Surgical Procedures • Top 100 Surgical Procedures Claims Detail Report Weekly – by start of the first business day following agreement and generate the EOW schedule to be followed. For example, our detail floor crew will machine scrub your restroom floors in January, March, June, and September. The system then generates updates and reminders for our crews to follow. Your Customer Service Manager drives and monitors the completion of week reported Detailed report showing weekly claim payments made. This report should include current these services, and prior year rolling average claim payments made. Also, current and prior year claims volume. Medicare Secondary Payer (MSP) Report Weekly – by keeps you informed of the first business day following the EOW of week reported Detailed report of current status of MSP cases. Pended Claims Report Weekly – by the first business day following the EOW of week reported Detailed report to include number of claims pended, pend code reasons/descriptions and timeframe of pends. Claims QA Report Monthly – by the 10th of the month following the previous month Detailed report of all claims processing errors identified as a result of vendor’s internal QA review. Appeals Report Monthly – by the 10th of the month following the previous month Detailed report which includes the following appeals details: • Receipt Date, • Completion Date, • Turnaround time (TAT), • Appeal Reason, • Appeal Outcome, and • Type of Appeal. Prior Authorization Request Report Monthly – by the 10th of the month following the Detailed report providing authorizations requested and reviewed by the vendor’s medical review staff. previous month Coordination of Benefits (COB) & Subrogation Activity Report Monthly – by the 10th of the month following the previous month Detailed report of COB and subrogation activity on a monthly basis. Customer Service Telephone Call Report Monthly – by the 10th of the month following the previous month Detailed customer service telephone call report to include, but not limited to: • Number of calls • Call answer time • Telephone drop rate • Reason for call list • Hold time Customer Service QA Report Monthly – by the 10th of the month following the previous month Detailed report of all customer service errors identified as a result of vendor’s QA review. Telemedicine Utilization Report Monthly – by the 10th of the month following the previous month Detailed report of participant telemedicine utilization for all providers. Field Rep Activity Report Monthly – by the 10th of the month following the previous month Detailed report of all activities completed by field reps. This report should include all visits, conferences, and any other field activity performed by the field reps. Network Access Report Quarterly – 30 calendar days after the quarter ends Semi-Annually of results as of June 30th due by July 31st & results as of December 31st due by January 31st Detailed reports provided which confirm in-state network access. Provider Network Inquiry Report Quarterly – 30 calendar days after the quarter ends Detailed report of inquiries from providers and participants concerning the provider network. Provider Network Manager Report Monthly – by the 10th of the month following the previous month Detailed report of provider network manager activity to include contracted providers activity, network performance and claims analysis. Network Provider Hospital Privileges Report Quarterly – 30 calendar days after the quarter ends Detailed report of network providers who do not have admitting privileges at a participating hospital. Provider and Participant Complaint Resolution Report Quarterly – 30 calendar days after the quarter ends Detailed summary tracking participant and provider inquiries or complaints and resolutions and timeframe for resolution. Provider Performance Monitoring Report Quarterly – 30 calendar days after the quarter ends Detailed report of utilization and cost trends, incidents of quality issues and/or non-compliance with medical management protocols and outcomes of implemented corrective action plans. Participant Satisfaction Annually Summary of participant survey responses completed. Survey Report Provider Satisfaction Survey Report Annually Summary of provider survey responses completed. Hospital DRG Validations and Charge/Xxxx Audits Finding Report Monthly – by the 30th of the month following the previous month Detailed report showing hospital DRG validations, charge/xxxx audits and professional xxxx audits within one (1) year from the day the claim was processed in a format approved by the Board. Year-End Hospital DRG Validations and Charge/Xxxx Audits Finding Report Annually Detailed report including the number of claims processed in the year, the number of claims audited in the year, the number and percentage of claims audited where the audits were initiated within 365 days, and the number and percentage of claims audited where the audits were not initiated within 365 dayseach task.