Common use of Monitoring and Corrective Action Clause in Contracts

Monitoring and Corrective Action. Provider shall internally monitor and audit its responsibilities and activities with respect to such administration and delivery of health care services under this Agreement, including documenting any potential noncompliance or potential Fraud, Waste and Abuse (FWA) identified via audit, monitoring, or otherwise, by BCBSM, HHS, GAO, or CMS. Provider shall take corrective action to remedy any deficiencies found as appropriate. Upon request, Provider shall provide BCBSM with the results of any audits related to the provision of services to Members. Additionally, Provider shall allow BCBSM, HHS, GAO, and/or CMS to oversee its documentation and implementation of corrective actions related to potential noncompliance or potential FWA.

Appears in 4 contracts

Samples: Provider Agreement, Medicare Advantage Ppo Provider Agreement, Ppo Provider Agreement

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