Common use of OIG Removal of IRO Clause in Contracts

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner in writing that Practitioner shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Healogics in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Healogics shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Healogics regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Healogics in writing that Practitioner Healogics shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Healogics must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Healogics to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Provider in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Provider shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Provider regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Provider in writing that Practitioner Provider shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Provider must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Provider to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, E or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Indivior in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Indivior shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Indivior regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Indivior in writing that Practitioner Indivior shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Indivior must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Indivior to engage a new IRO shall be made at the sole discretion of OIG. I. Covered Functions Review, General Description

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Genova in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Genova shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Genova regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Genova in writing that Practitioner Genova shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Genova must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Genova to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Xxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Xxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxx regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Xxxxx in writing that Practitioner Xxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxx must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxx to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner LHMC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner LHMC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner LHMC regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner LHMC in writing that Practitioner LHMC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner LHMC must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner LHMC to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner LFAC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner LFAC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner LFAC regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner LFAC in writing that Practitioner LFAC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner LFAC must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner LFAC to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner MTL in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner MTL shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner MTL regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner MTL in writing that Practitioner MTL shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner MTL must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner MTL to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Gamma in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Gamma shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Gamma regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Gamma in writing that Practitioner Gamma shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Gamma must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Gamma to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner SNAP in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner SNAP shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner SNAP regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner SNAP in writing that Practitioner SNAP shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner SNAP must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner SNAP to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B CLAIMS REVIEW‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Walgreens in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Walgreens and the IRO shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Walgreens or the IRO regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Walgreens in writing that Practitioner Walgreens shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Walgreens must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Walgreens to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner SPI in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner SPI shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner SPI regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner SPI in writing that Practitioner SPI shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner SPI must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner SPI to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner JSK in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner JSK shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence independence, or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner JSK regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner JSK in writing that Practitioner JSK shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner JSK must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner JSK to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Xxxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Xxxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxx regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Xxxxxx in writing that Practitioner Xxxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Provider in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Provider shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s OIG’s‌ review of any information provided by Practitioner Provider regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Provider in writing that Practitioner Provider shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Provider must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Provider to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B CLAIMS REVIEW‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Kumar in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Kumar shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Kumar regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Kumar in writing that Practitioner Kumar shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Kumar must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Kumar to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner in writing that Practitioner shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Apria in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Apria shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Apria regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Apria in writing that Practitioner Apria shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Apria must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Apria to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner LCPCC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner LCPCC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner LCPCC regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner LCPCC in writing that Practitioner LCPCC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner LCPCC must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner LCPCC to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Liberty in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Liberty shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Liberty regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Liberty in writing that Practitioner Liberty shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Liberty must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Liberty to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner in writing that Practitioner shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ 3‌ APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Golden in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Golden shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Golden regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Golden in writing that Practitioner Golden shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Golden must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Golden to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Xxxxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Xxxxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxxx regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Xxxxxxx in writing that Practitioner Xxxxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxxx must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxxxx to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner UCI in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner UCI shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner UCI regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner UCI in writing that Practitioner UCI shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner UCI must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner UCI to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner ION in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Appendix A. ION shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner ION regarding its the IRO, OIG determines that the IRO has not met the requirements of this AppendixAppendix A, OIG shall notify Practitioner ION in writing that Practitioner ION shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Appendix A. ION must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner ION to engage a new IRO shall be made at the sole discretion of OIG. This Appendix B contains the requirements relating to the Arrangements Review and Additional Items Review required under Section III.F of the CIA.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner OGCC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner OGCC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence independence, or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner OGCC regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner OGCC in writing that Practitioner OGCC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner OGCC must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner OGCC to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner RMS in writing regarding OIG’s 's basis for determining that the IRO has not met the requirements of this Appendix. Practitioner RMS shall have 30 days from the date of OIG’s 's written notice to provide information regarding the IRO’s 's qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s ' s review of any information provided by Practitioner RMS regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner RMS in writing that Practitioner RMS shall be required to engage a new new‌ IRO in accordance with Paragraph A of this Appendix. Practitioner RMS must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner RMS to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Khanna in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Khanna shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Khanna regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Khanna in writing that Practitioner Khanna shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Khanna must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Khanna to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, E or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Astellas in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Astellas shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the the‌ concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Astellas regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Astellas in writing that Practitioner Astellas shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Astellas must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Astellas to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌‌ CIA with Astellas Pharma US, Inc.‌ I. IRO Engagement, General Description

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Qamar in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Qamar shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Qamar regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Qamar in writing that Practitioner Qamar shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Qamar to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner PPOA in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner PPOA shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner PPOA regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner PPOA in writing that Practitioner PPOA shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner PPOA must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner to engage a new IRO shall be made at the sole discretion of OIG.to‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Springfield in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Springfield shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Springfield regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Springfield in writing that Practitioner Springfield shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxxxxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Springfield to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner MPG in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner MPG shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner MPG regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner MPG in writing that Practitioner MPG shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner MPG must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner MPG to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Arora in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Arora shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxx regarding its IRO, OIG determines that the IRO has not met met‌ the requirements of this Appendix, OIG shall notify Practitioner Arora in writing that Practitioner Arora shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Arora must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Arora to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌‌‌ APPENDIX B CLAIMS REVIEW‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Klurfeld in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Klurfeld shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxxxx regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Klurfeld in writing that Practitioner Klurfeld shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Klurfeld must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Klurfeld to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner CBHA in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner CBHA shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner CBHA regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner CBHA in writing that Practitioner CBHA shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner CBHA must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner CBHA to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in in‌ Paragraph C, OIG shall notify Practitioner ABC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner ABC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner ABC regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner ABC in writing that Practitioner ABC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner ABC must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner ABC to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ Appendix B‌ I. IRO Engagement, General Description

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG OIG‌ shall notify Practitioner Xxxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Xxxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxx regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Xxxxxx in writing that Practitioner Xxxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌‌ APPENDIX B CLAIMS REVIEW‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, If,‌ following OIG’s review of any information provided by Practitioner regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner in writing that Practitioner shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌‌‌ APPENDIX B CLAIMS REVIEW‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, E or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Amgen in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Amgen shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Amgen regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Amgen in writing that Practitioner Amgen shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Amgen must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Amgen to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌‌ CIA with Amgen Inc.‌ I. IRO Engagement, General Description

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner GLML in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner GLML shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner GLML regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner GLML in writing that Practitioner GLML shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner GLML must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner GLML to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Toccoa in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Toccoa shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Toccoa regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Toccoa in writing that Practitioner Toccoa shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner must Toccoa must‌‌‌ engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Toccoa to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B CLAIMS REVIEW‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner RMS in writing regarding OIG’s 's basis for determining that the IRO has not met the requirements of this Appendix. Practitioner RMS shall have 30 days from the date of OIG’s 's written notice to provide information regarding the IRO’s 's qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s ' s review of any information provided by Practitioner RMS regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner RMS in writing that Practitioner RMS shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner RMS must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner RMS to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner SV/TC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner SV/TC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of of‌ any information provided by Practitioner SV/TC regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner SV/TC in writing that Practitioner SV/TC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner SV/TC must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner SV/TC to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in in‌ Paragraph C, OIG shall notify Practitioner LDH in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner LDH shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner LDH regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner LDH in writing that Practitioner LDH shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner LDH must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner LDH to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Gardi in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Gardi shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Gardi regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Gardi in writing that Practitioner Gardi shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Gardi must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Gardi to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Xxxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Xxxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxx regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Xxxxxx in writing that Practitioner Xxxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner CRC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner CRC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner CRC regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner CRC in writing that Practitioner CRC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner CRC must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner CRC to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner PGS in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner PGS shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner PGS regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner PGS in writing that Practitioner PGS shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner PGS must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner PGS to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Cigna in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Cigna shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Cigna regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Cigna in writing that Practitioner Cigna shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Cigna must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Cigna to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner UHealth in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner UHealth shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner UHealth regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner UHealth in writing that Practitioner UHealth shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner UHealth must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner UHealth to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Medstar in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Medstar shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Medstar regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Medstar in writing that Practitioner Medstar shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Medstar must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Medstar to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner VITAS in writing regarding OIG’s 's basis for determining that the IRO has not met the requirements of this Appendix. Practitioner VITAS shall have 30 days from the date of OIG’s 's written notice to provide information regarding the IRO’s 's qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s 's review of any information provided by Practitioner VITAS regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner VITAS in writing that Practitioner VITAS shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner VITAS must engage a new IRO within 60 days of its receipt of OIG’s 's written notice. The final determination as to whether or not to require Practitioner VITAS to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Oglethorpe in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Oglethorpe shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Oglethorpe regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Oglethorpe in writing that Practitioner Oglethorpe shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Oglethorpe must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Oglethorpe to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, E or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Sandoz in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Sandoz shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxx regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Sandoz in writing that Practitioner Sandoz shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxx must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG. I. Pricing and Contracting Functions Review, General Description

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Edgewater in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Edgewater shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Edgewater regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Edgewater in writing that Practitioner Edgewater shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Edgewater must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Edgewater to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Signature in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Signature shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Signature regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Signature in writing that Practitioner Signature shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Signature must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Signature to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Balotin in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Balotin shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxxx regarding its his IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Balotin in writing that Practitioner Balotin shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Balotin to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner UMHS in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner UMHS shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner UMHS regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner UMHS in writing that Practitioner UMHS shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner UMHS must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner UMHS to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Aegerion in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Aegerion shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Aegerion regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Aegerion in writing that Practitioner Aegerion shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Aegerion must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Aegerion to engage a new IRO shall be made at the sole discretion of OIGXXX.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Longwood in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Longwood shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxxxx regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Longwood in writing that Practitioner Longwood shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Longwood must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Longwood to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Diversicare in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Diversicare shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Diversicare regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Diversicare in writing that Practitioner Diversicare shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Diversicare must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Diversicare to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ Corporate Integrity Agreement - Appendix A 3‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner the Parties in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner The Parties shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner the Parties regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner the Parties in writing that Practitioner the Parties shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner The Parties must engage a new IRO within 60 days of their receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner the Parties to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Xxxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Xxxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxx regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Xxxxxx in writing that Practitioner Xxxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Vibra in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Vibra shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Vibra regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Vibra in writing that Practitioner Vibra shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Vibra must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Vibra to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner TPRC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner TPRC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence independence, relationship to TPRC or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner TPRC regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner TPRC in writing that Practitioner TPRC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner TPRC must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner TPRC to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Apria in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Apria shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Apria regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Apria in writing that Practitioner Apria shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Apria must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Apria to engage a new IRO shall be made at the sole discretion of OIG.. Apria - Corporate Integrity Agreement Appendix A

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner FHG in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner FHG shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner FHG regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner FHG in writing that Practitioner FHG shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner FHG must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner FHG to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner CSI in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner CSI shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner CSI regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner CSI in writing that Practitioner CSI shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner CSI must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner CSI to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner UHS in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner UHS shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner UHS regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner UHS in writing that Practitioner UHS shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner UHS must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner UHS to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Xxxxxx Valley in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Xxxxxx Valley shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxx Valley regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Xxxxxx Valley in writing that Practitioner Xxxxxx Valley shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxx Valley must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxxx Valley to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner THM in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner THM shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner THM regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner THM in writing that Practitioner THM shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner THM must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner THM to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner GSCS in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner GSCS shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner GSCS regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner GSCS in writing that Practitioner GSCS shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner GSCS must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner GSCS to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner APS in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner APS shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner APS regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner APS in writing that Practitioner APS shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner APS must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner APS to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Saini in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Saini shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Saini regarding its IRO, OIG determines that the IRO has not met met‌ the requirements of this Appendix, OIG shall notify Practitioner Saini in writing that Practitioner Saini shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Saini to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, E or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Merit in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Merit shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Merit regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Merit in writing that Practitioner Merit shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Merit must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Merit to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Signature in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Signature shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Signature regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Signature in writing that Practitioner Signature shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Signature must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Signature to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner VirtuOx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner VirtuOx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner VirtuOx regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner VirtuOx in writing that Practitioner VirtuOx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner VirtuOx must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner VirtuOx to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Gold Coast in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Gold Coast shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Gold Coast regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Gold Coast in writing that Practitioner Gold Coast shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Gold Coast must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Gold Coast to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner NAHC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner NAHC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner NAHC regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner NAHC in writing that Practitioner NAHC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner NAHC must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner NAHC to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Dia-Foot in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Dia-Foot shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Dia-Foot regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Dia-Foot in writing that Practitioner Dia-Foot shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Dia-Foot must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Dia-Foot to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner LCCA in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner LCCA shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner LCCA regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner LCCA in writing that Practitioner LCCA shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner LCCA must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner LCCA to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Skyline in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Skyline shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Skyline regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Skyline in writing that Practitioner Skyline shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Skyline must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Skyline to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner EPIPG in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner EPIPG shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner EPIPG regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner EPIPG in writing that Practitioner EPIPG shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner EPIPG must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner EPIPG to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner BMG in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner BMG shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner BMG regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner BMG in writing that Practitioner BMG shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner BMG must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner BMG to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B CHART REVIEW‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Prime in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Prime shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Prime regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Prime in writing that Practitioner Prime shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Prime must engage a new new‌ IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Prime to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner MTC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner MTC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner MTC regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner MTC in writing that Practitioner MTC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner MTC must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner MTC to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner 21st Century in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner 21st Century shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner 21st Century regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner 21st Century in writing that Practitioner 21st Century shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner 21st Century must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner 21st Century to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Xxxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Xxxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxx regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Xxxxxx in writing that Practitioner Xxxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxx must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner SERA in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner SERA shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner SERA regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner SERA in writing that Practitioner SERA shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner SERA must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner SERA to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner I&L in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner I&L shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner I&L regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner I&L in writing that Practitioner I&L shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner I&L must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner I&L to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Essex in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Essex shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Essex regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Essex in writing that Practitioner Essex shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Essex must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Essex to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Xxxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Xxxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxx regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Xxxxxx in writing that Practitioner Xxxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Xxxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG.. APPENDIX B CLAIMS REVIEW‌‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Align in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Align shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Align regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Align in writing that Practitioner Align shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Align must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Align to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B QUARTERLY CLAIMS REVIEW‌‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner DLDC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner DLDC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner DLDC regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner DLDC in writing that Practitioner DLDC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner DLDC must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner DLDC to engage a new IRO shall be made at the sole discretion of OIG.OIG.‌ APPENDIX B CLAIMS REVIEW‌‌‌

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG OIG‌ shall notify Practitioner TEN in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner TEN shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner TEN regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner TEN in writing that Practitioner TEN shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner TEN must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner TEN to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner NAHC in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner NAHC shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner NAHC regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner NAHC in writing that Practitioner NAHC shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner NAHC must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner NAHC to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner Lincare in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner Lincare shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner Xxxxxxx regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner Lincare in writing that Practitioner Lincare shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner Lincare must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner Lincare to engage a new IRO shall be made at the sole discretion of OIG.

OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph ED, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner VITAS in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner VITAS shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner VITAS regarding its the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner VITAS in writing that Practitioner VITAS shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner VITAS must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner VITAS to engage a new IRO shall be made at the sole discretion of OIG.