Incidents of Suspected Non-Compliance, Fraud, Waste or Abuse. Group shall promptly investigate any potential and/or suspected incidents of non-compliance with Laws, fraud, waste, or abuse in connection with the Agreement, the BlueLincs HMO Addendum, this MA HMO Addendum, and/or the administration or delivery of Covered Services to MA HMO Members (“Incident”) and report any such Incident to BlueLincs HMO as soon as reasonably possible, but in no instance later than thirty (30) calendar days after Group becomes aware of such Incident. Such notice to BlueLincs HMO shall include a statement regarding Group's efforts to conduct a timely, reasonable inquiry into the Incident, proposed or implemented corrective actions in response to the Incident, and any other information that may be relevant to BlueLincs HMO in making its decision regarding self-reporting of such Incident. Group shall cooperate with any investigation by BlueLincs HMO, HHS or its authorized designees relating to such Incident, and Group acknowledges that its failure to cooperate with any such investigation may result in a referral to law enforcement and/or other implementation of corrective actions permitted under Laws. Group shall cause its Downstream Entities to promptly report to Group, who shall report to BlueLincs HMO, any Incidents in accordance with this section.
Incidents of Suspected Non-Compliance, Fraud, Waste or Abuse. Group shall promptly investigate any potential and/or suspected incidents of non-compliance with Laws, fraud, waste, or abuse in connection with the Agreement, the Blue Choice PPO Addendum, this MA PPO Addendum, and/or the administration or delivery of Covered Services to MA PPO Members (“Incident”) and report any such Incident to The Plan as soon as reasonably possible, but in no instance later than thirty (30) calendar days after Group becomes aware of such Incident. Such notice to The Plan shall include a statement regarding Group's efforts to conduct a timely, reasonable inquiry into the Incident, proposed or implemented corrective actions in response to the Incident, and any other information that may be relevant to The Plan in making its decision regarding self- reporting of such Incident. Group shall cooperate with any investigation by The Plan, HHS or its authorized designees relating to such Incident, and Group acknowledges that its failure to cooperate with any such investigation may result in a referral to law enforcement and/or other implementation of corrective actions permitted under Laws. Group shall cause its Downstream Entities to promptly report to Group, who shall report to The Plan, any Incidents in accordance with this section.
Incidents of Suspected Non-Compliance, Fraud, Waste or Abuse. Hospital shall promptly investigate any potential and/or suspected incidents of non-compliance with Laws, fraud, waste, or abuse in connection with the Agreement, the Blue Choice PPO Addendum, this Blue Cross MA PPO Addendum, and/or the administration or delivery of Covered Services to Blue Cross Medicare Advantage PPO Members (“Incident”) and report any such Incident to The MA Plan as soon as reasonably possible, but in no instance later than thirty (30) calendar days after Hospital becomes aware of such Incident. Such notice to The MA Plan shall include a statement regarding Hospital’s efforts to conduct a timely, reasonable inquiry into the Incident, proposed or implemented corrective actions in response to the Incident, and any other information that may be relevant to The MA Plan in making its decision regarding self-reporting of such Incident. Hospital shall cooperate with any investigation by The MA Plan, HHS or its authorized designees relating to such Incident, and Hospital acknowledges that its failure to cooperate with any such investigation may result in a referral to law enforcement and/or other implementation of corrective actions permitted under Laws. Hospital shall cause its Downstream Entities to promptly report to Hospital, who shall report to The MA Plan, any Incidents in accordance with this section.
Incidents of Suspected Non-Compliance, Fraud, Waste or Abuse. 1. PRACTICE shall promptly investigate any potential and/or suspected incidents of non- compliance with Laws, fraud, waste, or abuse in connection with this Agreement and/or the administration or delivery of Covered Services to Members (“Incident”) and report any such Incident to HMO as soon as reasonably possible, but in no instance later than thirty (30) calendar days after PRACTICE becomes aware of such Incident. Such notice to HMO shall include a statement regarding PRACTICE’s efforts to conduct a timely, reasonable inquiry into the Incident, proposed or implemented corrective actions in response to the Incident, and any other information that may be relevant to HMO in making its decision regarding self-reporting of such Incident.
