Iro Removal Termination.
1. Xxxxx and IRO. If Xxxxx terminates its IRO or if the IRO withdraws from the engagement during the term of the CIA, Xxxxx must submit a notice explaining (a) its reasons for termination of the IRO or (b) the IRO’s reasons for its withdrawal to OIG, no later than 30 days after termination or withdrawal. Xxxxx must engage a new IRO in accordance with Paragraph A of this Appendix and within 60 days of termination or withdrawal of the IRO.
Iro Removal Termination. 1. The Friendship Entities and IRO. If the Friendship Entities terminate their IRO or if the IRO withdraws from the engagement during the term of the CIA, the Friendship Entities must submit a notice explaining (a) its reasons for termination of the IRO or (b) the IRO’s reasons for its withdrawal to OIG, no later than 30 days after termination or withdrawal. The Friendship Entities must engage a new IRO in accordance with Paragraph A of this Appendix and within 60 days of termination or withdrawal of the IRO.
Iro Removal Termination. 1. 21st Century and IRO. If 21st Century terminates its IRO or if the IRO withdraws from the engagement during the term of the CIA, 21st Century must submit a notice explaining (a) its reasons for termination of the IRO or (b) the IRO’s reasons for its withdrawal to OIG, no later than 30 days after termination or withdrawal. 21st Century must engage a new IRO in accordance with Paragraph A of this Appendix and within 60 days of termination or withdrawal of the IRO.
Iro Removal Termination. 1. Diversicare and IRO. If Diversicare terminates its IRO or if the IRO withdraws from the engagement during the term of the CIA, Diversicare must submit a notice explaining (a) its reasons for termination of the IRO or (b) the IRO’s reasons for its withdrawal to OIG, no later than 30 days after termination or withdrawal. Diversicare must engage a new IRO in accordance with Paragraph A of this Appendix and within 60 days of termination or withdrawal of the IRO.
2. OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Diversicare in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Diversicare shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Diversicare regarding the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Diversicare in writing that Diversicare shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Diversicare must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Diversicare to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B SKILLED NURSING FACILITY CLAIMS REVIEW
A. Claims Review. The IRO shall perform the Skilled Nursing Facility Claims Review (Claims Review) annually to cover each of the five Reporting Periods. The Claims Review shall be conducted at 8% of Diversicare’s facilities or at least 5 facilities, whichever is greater (“Subject Facilities”), for each Reporting Period. The IRO shall perform all components of each Claims Review.
Iro Removal Termination. 1. Health Quest and IRO. If Health Quest terminates its IRO or if the IRO withdraws from the engagement during the term of the CIA, Health Quest must submit a notice explaining (a) its reasons for termination of the IRO or (b) the IRO’s reasons for its withdrawal to OIG, no later than 30 days after termination or withdrawal. Health Quest must engage a new IRO in accordance with Paragraph A of this Appendix and within 60 days of termination or withdrawal of the IRO.
Iro Removal Termination. 1. Hebrew Homes and IRO. If Hebrew Homes terminates its IRO or if the IRO withdraws from the engagement during the term of the CIA, Hebrew Homes must submit a notice explaining (a) its reasons for termination of the IRO or (b) the IRO’s reasons for its withdrawal to OIG, no later than 30 days after termination or withdrawal. Hebrew Homes must engage a new IRO in accordance with Paragraph A of this Appendix and within 60 days of termination or withdrawal of the IRO.
Iro Removal Termination. Hope Hospice and IRO. If Hope Hospice terminates its IRO or if the IRO withdraws from the engagement during the term of the CIA, Hope Hospice must submit a notice explaining (a) its reasons for termination of the IRO or (b) the IRO’s reasons for its withdrawal to OIG, no later than 30 days after termination or withdrawal. Hope Hospice must engage a new IRO in accordance with Paragraph A of this Appendix and within 60 days of termination or withdrawal of the IRO.
Iro Removal Termination. If Txxxx terminates any IRO during the course of the engagement, Txxxx must submit a notice explaining its reasons to OIG no later than 30 days after termination. Txxxx must engage a new IRO in accordance with Section III.D of the CIA. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Section III.D.3 of the CIA, is not independent and objective as set forth in Section III.D.5 of the CIA, or has failed to carry out its responsibilities as described in Section III.D.4 of the CIA, OIG may, at its sole discretion, require Txxxx to engage a new IRO in accordance with Section III.D.2 of the CIA. Prior to requiring Txxxx to engage a new IRO, OIG shall notify Txxxx of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, Txxxx may request a meeting with OIG to discuss any aspect of the IRO’s qualifications, independence, objectivity, or performance of its responsibilities and to present additional information regarding these matters. Txxxx shall provide any additional information as may be requested by OIG under this Paragraph in an expedited manner. OIG will attempt in good faith to resolve any differences regarding the IRO with Txxxx prior to requiring Txxxx to terminate the IRO. However, the final determination as to whether or not to require Txxxx to engage a new IRO shall be made at the sole discretion of OIG.
Iro Removal Termination.
1. I&L and IRO. If I&L terminates its IRO or if the IRO withdraws from the engagement during the term of the IA, I&L must submit a notice explaining (a) its reasons for termination of the IRO or (b) the IRO’s reasons for its withdrawal to OIG no later than 30 days after termination or withdrawal. I&L must engage a new IRO in accordance with Paragraph A of this Appendix and within 60 days of termination or withdrawal of the IRO.
Iro Removal Termination.
1. The Rush Organization and IRO. If the Rush Organization terminates its IRO or if the IRO withdraws from the engagement during the term of the CIA, the Rush Organization must submit a notice explaining (a) its reasons for termination of the IRO or
