Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxMMW’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program Federal health care programs by Qamar MMW are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxLFAC’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar LFAC are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxPrinceton Pathology’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Princeton Pathology are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s Xxxxxx’x billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxxxx are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of each of the results of the Quarterly Claims SampleSamples, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i.
1. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s Xxxxx Pharmacy's billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxxx Pharmacy are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s OC and Xxxxxx’x billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a and state Medicaid program programs by Qamar OC and Xxxxxx are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s Xxxxxx’x billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxxxx are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s Xxxxx’x billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxxx are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxXxxxxxxx Clinic’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxxxxxx Clinic are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s Xxxxxxx’x billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxxxxx are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxDr. Muttath’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xx. Xxxxxxx are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxXxxxxxx’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Skyline are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxPractitioner’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Practitioner are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxGLML’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare a Medicare, state Medicaid, or a state Medicaid Managed Care program by Qamar GLML are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxGardi’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Gardi are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxAlign’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Align are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxxthe Practice’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar the Practice are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxEPIPG’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar EPIPG are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s Xx. Xxxxxx’x billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xx. Xxxxxx are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxHanora’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxxxx are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxKelly’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxxx are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxPractitioner’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Practitioner are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxXxxx Clinic’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxx Clinic are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
1 i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s Xxxxxx’x billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Xxxxxx are medically necessary necessary, properly supervised, and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxDakwa’s and HEAG’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar are covered, medically necessary necessary, and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) Xxxxx’s Xxxxxxxx’x billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Klurfeld are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxMPG’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or Medicare, a state Medicaid program program, or TRICARE by Qamar MPG are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxHanflink’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Hanflink are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results.
i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxGonzaga’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar Gonzaga are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement
Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) XxxxxFHG’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by Qamar FHG are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report.
ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.
Appears in 1 contract
Samples: Integrity Agreement