Common use of IRO Qualifications Clause in Contracts

IRO Qualifications. The IRO shall: 1. assign individuals to conduct the Claims Review who have expertise in the billing, coding, reporting, and other requirements of Group 2 and Group 3 pressure reducing support surfaces and in the general requirements of the Federal health care program(s) from which Hill-Rom seeks reimbursement; 2. assign individuals to design and select the Claims Review sample who are knowledgeable about the appropriate statistical sampling techniques; 3. assign individuals to conduct the coding review portions of the Claims Review who have a nationally recognized coding certification and who have maintained this certification (e.g., completed applicable continuing education requirements); and 4. have sufficient staff and resources to conduct the reviews required by the CIA on a timely basis.

IRO Qualifications. The IRO shall: 1. assign individuals to conduct the Claims Review who have expertise in the billing, coding, reporting, and other requirements of Group 2 and Group 3 pressure reducing support surfaces applicable to hospice services and in the general requirements of the Federal health care program(s) from which Hill-Rom CCH of New York seeks reimbursement; 2. assign individuals to design and select the Claims Review sample who are knowledgeable about the appropriate statistical sampling techniques; 3. assign individuals to conduct the coding review portions of the Claims Review who have a nationally recognized coding certification and who have maintained this certification (e.g., completed applicable continuing education requirements); and 4. have sufficient staff and resources to conduct the reviews required by the CIA on a timely basis.

IRO Qualifications. The IRO shall: 1. assign individuals to conduct the Claims Review who have expertise in the billing, coding, reporting, and other requirements of Group 2 and Group 3 pressure reducing support surfaces behavioral health care services and in the general requirements of the Federal health care program(s) from which Hill-Rom seeks the Providers seek reimbursement; 2. assign individuals to design and select the Claims Review sample who are knowledgeable about the appropriate statistical sampling techniques; 3. assign individuals to conduct the coding review portions of the Claims Review who have a nationally recognized coding certification and who have maintained this certification (e.g., completed applicable continuing education requirements); and 4. have sufficient staff and resources to conduct the reviews required by the CIA on a timely basis.

IRO Qualifications. The IRO shall: 1. assign individuals to conduct the Claims Review and Systems Review who have expertise in the billing, coding, reporting, and other requirements of Group 2 and Group 3 pressure reducing support surfaces properly running an ambulance company and in the general requirements of the Federal health care program(s) from which Hill-Rom First Call seeks reimbursement; 2. assign individuals to design and select the Claims Review sample who are knowledgeable about the appropriate statistical sampling techniques; 3. assign individuals to conduct the coding review portions of the Claims Review who have a nationally recognized coding certification and who have maintained this certification (e.g., completed applicable continuing education requirements); and 4. have sufficient staff and resources to conduct the reviews required by the CIA on a timely basis; and 5. assign individuals to conduct the Systems Review who have a nationally recognized history of doing such reviews.

IRO Qualifications. The IRO shall: 1. assign individuals to conduct the Claims Review who have expertise in the billing, coding, reporting, and other requirements of Group 2 and Group 3 pressure reducing support surfaces durable medical equipment and in the general requirements of the Federal health care program(s) from which Hill-Rom Xx Xxxxxx seeks reimbursement; 2. assign individuals to design and select the Claims Review sample who are knowledgeable about the appropriate statistical sampling techniques; 3. assign individuals to conduct the coding review portions of the Claims Review who have a nationally recognized coding certification and who have maintained this certification (e.g., completed applicable continuing education requirements); and 4. have sufficient staff and resources to conduct the reviews required by the CIA on a timely basis.

IRO Qualifications. The IRO shall: 1. assign individuals to conduct the Claims Review who have expertise in the billing, coding, reporting, and other requirements of Group 2 and Group 3 pressure reducing support surfaces ambulance services and in the general requirements of the Federal health care program(s) from which HillTrans-Rom Star seeks reimbursement; 2. assign individuals to design and select the Claims Review sample who are knowledgeable about the appropriate statistical sampling techniques; 3. assign individuals to conduct the coding review portions of the Claims Review who have a nationally recognized coding certification and who have maintained this certification (e.g., completed applicable continuing education requirements); and 4. have sufficient staff and resources to conduct the reviews required by the CIA on a timely basis.

IRO Qualifications. The IRO shall: 1. assign individuals to conduct the Claims Review engagement who have expertise in the billing, coding, reporting, and other requirements of Group 2 ambulance and Group 3 pressure reducing support surfaces transportation services and in the general requirements of the Federal health care program(s) from which Hill-Rom Rural/Metro Ohio seeks reimbursement; 2. assign individuals to design and select the Claims Review sample who are knowledgeable about the appropriate statistical sampling techniques; 3. assign individuals to conduct the coding review portions of the Claims Review who have a nationally recognized coding certification and who have maintained this certification (e.g., completed applicable continuing education requirements); and 4. have sufficient staff and resources to conduct the reviews required by the CIA on a timely basis.

IRO Qualifications. The IRO shall: 1. assign individuals to conduct the Claims Review who have expertise in the billing, coding, reporting, and other requirements of Group 2 and Group 3 pressure reducing support surfaces claims for physical therapy services and in the general requirements of the Federal health care program(s) from which Hill-Rom the Provider seeks reimbursement; 2. assign individuals to design and select the Claims Review sample who are knowledgeable about the appropriate statistical sampling techniques; 3. assign individuals to conduct the coding review portions of the Claims Review who have a nationally recognized coding certification and who have maintained this certification (e.g., completed applicable continuing education requirements); and 4. have sufficient staff and resources to conduct the reviews required by the CIA on a timely basis.

IRO Qualifications. The IRO shall: 1. assign individuals to conduct the Claims Review who have expertise in the billing, coding, reporting, and other requirements of Group 2 and Group 3 pressure reducing support surfaces urine drug testing claims and in the general requirements of the Federal health care program(s) from which Hill-Rom Xxxxxxxx seeks reimbursement; 2. assign individuals to design and select the Claims Review sample who are knowledgeable about the appropriate statistical sampling techniques; 3. assign individuals to conduct the coding review portions of the Claims Review who have a nationally recognized coding certification and who have maintained this certification (e.g., completed applicable continuing education requirements); and 4. have sufficient staff and resources to conduct the reviews required by the CIA on a timely basis.