Narrative Results. i. A description of Progenity’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing. ii. A description of controls in place at Progenity to ensure that all items and services billed to Medicare or a state Medicaid program 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 Claims Review, including the results of the Claims Review Sample.
Appears in 3 contracts
Samples: Corporate Integrity Agreement (Progenity, Inc.), Corporate Integrity Agreement (Progenity, Inc.), Corporate Integrity Agreement
Narrative Results. i. A description of Progenity’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing.
ii. A description of controls in place at Progenity to ensure that all items and services billed to Medicare or program, a state Medicaid program, or the TRICARE program 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 Claims Review, including the results of the Claims Review Sample.
Appears in 2 contracts
Samples: Corporate Integrity Agreement (Universal Health Services Inc), Corporate Integrity Agreement