Common use of Narrative Results Clause in Contracts

Narrative Results. i. A description of CHSI’s admission, utilization review, billing and coding system(s), including the identification, by position description, of the personnel involved in level of care decisions, utilization review, coding and billing. ii. A narrative explanation of the IRO’s findings and supporting rationale (including reasons for errors, patterns noted, etc.) regarding the Inpatient Medical Necessity and Appropriateness Review, including the results of the Discovery Sample(s), and the results of the Full Sample(s) (if any).

Narrative Results. i. A description of CHSI’s admission, utilization review, billing and coding system(s), including the identification, by position description, of the personnel involved in level of care decisions, utilization review, coding and billing. ii. A description of controls in place at CHSI to ensure that all items and services billed to Medicare are medically necessary and appropriately documented. iii. A narrative explanation of the IRO’s findings and supporting rationale (including reasons for errors, patterns noted, etc.) regarding the Inpatient Medical Necessity and Appropriateness Claims Review, including the results of the Discovery Sample(s), and the results of the Full Sample(s) (if any)Claims Review Sample.

Narrative Results. ‌‌ i. A description of CHSI’s admission, utilization review, billing and coding system(s), including the identification, by position description, of the personnel involved in level of care decisions, utilization review, coding and billing. ii. A description of controls in place at CHSI to ensure that all items and services billed to Medicare are medically necessary and appropriately documented. iii. A narrative explanation of the IRO’s findings and supporting rationale (including reasons for errors, patterns noted, etc.) regarding the Inpatient Medical Necessity and Appropriateness Claims Review, including the results of the Discovery Sample(s), and the results of the Full Sample(s) (if any)Claims Review Sample.