IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, Xxxxxx shall provide to OIG a copy of the Quarterly Claims Review Report prepared by the IRO for each Quarterly Claims Review performed, along with Xxxxxx’x response and corrective action plan related to any recommendations made by the IRO in the Quarterly Claims Review Report. Each Quarterly Claims Review Report shall include the information specified in Appendix B to this IA.
IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, LFAC shall provide to OIG a copy of the Quarterly Claims Review Report prepared by the IRO for each Quarterly Claims Review performed, along with LFAC’s response and corrective action plan related to any recommendations made by the IRO, including LFAC’s determination of whether the CMS overpayment rule requires the repayment of an extrapolated Overpayment (as defined in Appendix B), in the Quarterly Claims Review Report. Each Quarterly Claims Review Report shall include the information specified in Appendix B to this IA.
IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, Xxxxxxxxxx shall provide to OIG a copy of the Quarterly Claims and Cardiac Procedures Review Report prepared by the IRO(s) for each Quarterly Claims and Cardiac Procedures Review performed. Xxxxxxxxxx shall also provide (1) a response and corrective action plan(s) related to any recommendations raised by the IRO(s) in the Quarterly Claims and Cardiac Procedures Review Report; and (2) a response and explanation related to all instances in which the IRO determined that a particular Paid Claim was not medically necessary for each Quarterly Claims and Cardiac Procedures Review Report. Each Quarterly Claims and Cardiac Procedures Review Report shall include the information specified in Appendix B to this IA.
IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, DLDC shall provide to OIG a copy of the Quarterly Claims Review Report prepared by the IRO for each Quarterly Claims Review performed, along with DLDC’s response and corrective action plan related to any recommendations made by the IRO in the Quarterly Claims Review Report. Each Quarterly Claims Review Report shall include the information specified in Appendix B to this IA.
IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, I&L shall provide to OIG a copy of the Quarterly Claims Review Report and the Quarterly Drug Inventory Review Report prepared by the IRO for each Quarterly Claims Review and Quarterly Drug Inventory Review performed, along with I&L’s response and corrective action plan related to any recommendations made by the IRO in the Quarterly Claims Review Report and Quarterly Drug Inventory Review Report. Each Quarterly Claims Review Report and Quarterly Drug Inventory Review Report shall include the information specified in Appendix B to this IA.
IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, Xxxxxx shall provide to OIG a copy of the Quarterly Claims Review Report prepared by the IRO for each Quarterly Claims Review performed, along with Hanora’s response and corrective action plan related to any recommendations made by the IRO, including Hanora’s determination of whether the CMS overpayment rule requires the repayment of an extrapolated Overpayment (as defined in Appendix B), in the Quarterly Claims Review Report. Each Quarterly Claims Review Report shall include the information specified in Appendix B to this IA.
IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, Alaska Neurology shall provide to OIG a copy of the Quarterly Claims Review Report prepared by the IRO for each Quarterly Claims Review performed, along with Alaska Neurology’s response and corrective action plan related to any recommendations made by the IRO, including Alaska Neurology’s determination of whether the CMS overpayment rule requires the repayment of an extrapolated Overpayment (as defined in Appendix B), in the Quarterly Claims Review Report. Each Quarterly Claims Review Report shall include the information specified in Appendix B to this IA.
IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, Choudhary-Rolla Neurology shall provide to OIG a copy of the Quarterly Claims Review Report prepared by the IRO for each Quarterly Claims Review performed, along with Xxxxxxxxx-Rolla Neurology’s response and corrective action plan related to any recommendations made by the IRO in the Quarterly Claims Review Report. Each Quarterly Claims Review Report shall include the information specified in Appendix B to this IA.
IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, Monos, Ltd., 215, and Xxxxxxxx shall provide to OIG a copy of the Quarterly Claims Review Report prepared by the IRO for each Quarterly Claims Review performed, along with Monos, Ltd., 215, and Xxxxxxxx’x response and corrective action plan related to any recommendations made by the IRO, including Monos, Ltd., 215, and Xxxxxxxx’x determination of whether the CMS overpayment rule requires the repayment of an extrapolated Overpayment (as defined in Appendix B), in the Quarterly Claims Review Report. Each Quarterly Claims Review Report shall include the information specified in Appendix B to this IA.
IRO Reports. Within 60 days following the end of each three-month period during the term of this IA, Providers shall provide to OIG a copy of the Cardiac Test Procedures Review Report and the Claims Review Report prepared by the IRO for each Quarterly Cardiac Test Procedures Review and Quarterly Claims Review performed, along with Providers’ response and corrective action plan related to any recommendations made by the IRO in the Quarterly Cardiac Test Procedures Review Report or the Quarterly Claims Review Report. Each Cardiac Test Procedures Review Report or Claims Review Report shall include the information specified in Appendix B to this IA.
