Common use of IRO Responsibilities Clause in Contracts

IRO Responsibilities. The IRO shall: 1. perform each Claims Review in accordance with the specific requirements of the CIA;

Appears in 48 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement, Corporate Integrity Agreement

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IRO Responsibilities. The IRO shall: 1. perform each Claims Review component of the IRO Reviews in accordance with the specific requirements of the CIA;

Appears in 7 contracts

Samples: Corporate Integrity Agreement (Indivior PLC), Corporate Integrity Agreement (Indivior PLC), Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Arrangements Review and Claims Review in accordance with the specific requirements of the CIA;

Appears in 6 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement, Corporate Integrity Agreement (Progenity, Inc.)

IRO Responsibilities. The IRO shall: 1. perform each Claims IRO Review in accordance with the specific requirements of the CIA;

Appears in 5 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement (Cardiovascular Systems Inc), Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Review and Inpatient Medical Necessity and Appropriateness Review in accordance with the specific requirements of the CIA;

Appears in 3 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement, Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Review and Unallowable Cost review in accordance with the specific requirements of the CIA;

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims component of the IRO Review in accordance with the specific requirements of the CIA;

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement (Spectranetics Corp)

IRO Responsibilities. The IRO shall: 1. perform each Claims Claim Review in accordance with the specific requirements of the CIA;

Appears in 2 contracts

Samples: Corporate Integrity Agreement (Polymedica Corp), Corporate Integrity Agreement (Rotech Healthcare Inc)

IRO Responsibilities. The IRO shall: 1. perform each Arrangements Review, Unallowable Cost Review, and Claims Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement (Community Health Systems Inc)

IRO Responsibilities. The IRO shall: 1. a. perform each Claims IRO Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement (Tenet Healthcare Corp)

IRO Responsibilities. The IRO shall: 1. perform each Claims Prescription Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Review and Unallowable Cost review, if applicable in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Verification Review. Eligibility Review, if applicable, and Unallowable Cost Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement (Gentiva Health Services Inc)

IRO Responsibilities. The With regard to the Claims Review, the IRO shall: 1. perform each Claims Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Record Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Review and each Restocking Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement (PharMerica CORP)

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IRO Responsibilities. The IRO shall: 1. perform each Claims Review and the Unallowable Cost review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Claim Review and, if applicable, Unallowable Cost Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement (Pediatrix Medical Group Inc)

IRO Responsibilities. The IRO shall: 1. perform each Claims Review and Surgical Procedures Quality Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Review Review, REM Program Review, and Unallowable Cost review, if applicable in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement (Amedisys Inc)

IRO Responsibilities. The IRO shall: 1. perform each Claims Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Review in accordance with the specific requirements of the CIACIA and Appendix B thereto;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Third-Party Liability Claims Review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Eligibility Review and the Unallowable Cost review in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

IRO Responsibilities. The IRO shall: 1. perform each Claims Review (and Unallowable Cost review, if applicable) in accordance with the specific requirements of the CIA;

Appears in 1 contract

Samples: Corporate Integrity Agreement

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