OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Section II, is not independent and objective as set forth in Section IV (or that the Legal IRO has a relationship to KDMC prohibited under Section IV), or has failed to carry out its responsibilities as described in Section III, OIG may, at its sole discretion, require KDMC to engage a new IRO in accordance with Section I of this Appendix. KDMC must engage a new IRO within 60 days of termination of the IRO. Prior to requiring KDMC to engage a new IRO, OIG shall notify KDMC of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, KDMC may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with KDMC prior to requiring KDMC to terminate the IRO. However, the final determination as to whether or not to require KDMC to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B INTERVENTIONAL CARDIAC PROCEDURES REVIEW
Appears in 2 contracts
Samples: Corporate Integrity Agreement, Corporate Integrity Agreement
OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Section IIParagraph B, is not independent and objective as set forth in Section IV (or that the Legal IRO has a relationship to KDMC prohibited under Section IV)Paragraph D, or has failed to carry out its responsibilities as described in Section IIIParagraph C, OIG may, at its sole discretion, require KDMC the Provider to engage Alliance/Active/Xxxxx/Xxxx/Xxxxxx Corporate Integrity Agreement - Appendix A a new IRO in accordance with Section I Paragraph A of this Appendix. KDMC The Provider must engage a new IRO within 60 days of termination of the IRO. Prior to requiring KDMC a Provider to engage a new IRO, OIG shall notify KDMC the Provider of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, KDMC the Provider may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with KDMC the Provider prior to requiring KDMC the Provider to terminate the IRO. However, the final determination as to whether or not to require KDMC the Provider to engage a new IRO shall be made at the sole discretion of OIG. Alliance/Active/Xxxxx/Xxxx/Xxxxxx Corporate Integrity Agreement- Appendix B APPENDIX B INTERVENTIONAL CARDIAC PROCEDURES CLAIMS REVIEW
Appears in 2 contracts
Samples: Corporate Integrity Agreement, Corporate Integrity Agreement
OIG Removal of IRO. In the event OIG has reason to believe that the an IRO engaged by Xxxxxxxxxx does not possess the qualifications described in Section IIParagraph B, is not independent and objective as set forth in Section IV (or that the Legal IRO has a relationship to KDMC prohibited under Section IV)Paragraph D, or has failed to carry out its responsibilities as described in Section IIIParagraph C, OIG may, at its sole discretion, require KDMC Xxxxxxxxxx to engage a new IRO in accordance with Section I Paragraph A of this Appendix. KDMC Xxxxxxxxxx must engage a new IRO within 60 days of termination of the an IRO. Prior to requiring KDMC Xxxxxxxxxx to engage a new IRO, OIG shall notify KDMC Xxxxxxxxxx of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, KDMC Xxxxxxxxxx may present additional information regarding the an IRO’s qualifications, independence independence, or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with KDMC Xxxxxxxxxx prior to requiring KDMC Xxxxxxxxxx to terminate the IRO. However, the final determination as to whether or not to require KDMC Xxxxxxxxxx to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B INTERVENTIONAL CARDIAC PROCEDURES REVIEWB
Appears in 1 contract
Samples: Integrity Agreement
OIG Removal of IRO. In the event OIG has reason to believe that the an IRO engaged by Xxxxx-XXX does not possess the qualifications described in Section IIParagraph B, is not independent and objective as set forth in Section IV (or that the Legal IRO has a relationship to KDMC prohibited under Section IV)Paragraph D, or has failed to carry out its responsibilities as described in Section IIIParagraph C, OIG may, at its sole discretion, require KDMC Xxxxx-JCA to engage a new IRO in accordance with Section I Paragraph A of this Appendix. KDMC Xxxxx- JCA must engage a new IRO within 60 days of termination of the an IRO. Prior to requiring KDMC Xxxxx-JCA to engage a new IRO, OIG shall notify KDMC Xxxxx-JCA of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIGXXX, KDMC Xxxxx-XXX may present additional information regarding the an IRO’s qualifications, independence independence, or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with KDMC Xxxxx-JCA prior to requiring KDMC Xxxxx-JCA to terminate the IRO. However, the final determination as to whether or not to require KDMC Xxxxx-JCA to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B INTERVENTIONAL CARDIAC PROCEDURES REVIEWB
Appears in 1 contract
Samples: Integrity Agreement
OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Section IIParagraph B, is not independent and objective as set forth in Section IV (or that the Legal IRO has a relationship to KDMC prohibited under Section IV)Paragraph D, or has failed to carry out its responsibilities as described in Section IIIParagraph C, OIG may, at its sole discretion, require KDMC the DIG Entities to engage a new IRO in accordance with Section I Paragraph A of this Appendix. KDMC the DIG Entities must engage a new IRO within 60 days of termination of the IRO. Prior to requiring KDMC the DIG Entities to engage a new IRO, OIG shall notify KDMC the DIG Entities of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, KDMC the DIG Entities may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with KDMC the DIG Entities prior to requiring KDMC the DIG Entities to terminate the IRO. However, the final determination as to whether or not to require KDMC the DIG Entities to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B INTERVENTIONAL CARDIAC PROCEDURES REVIEW.
Appears in 1 contract
Samples: Corporate Integrity Agreement
OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Section IIParagraph B, is not independent and objective as set forth in Section IV (or that the Legal IRO has a relationship to KDMC prohibited under Section IV)Paragraph D, or has failed to carry out its responsibilities as described in Section IIIParagraph C, OIG may, at its sole discretion, require KDMC Xx. Xxxxxxxx to engage a new IRO in accordance with Section I Paragraph A of this Appendix. KDMC Xx. Xxxxxxxx must engage a new IRO within 60 days of termination of the IRO. Prior to requiring KDMC Xx. Xxxxxxxx to engage a new IRO, OIG shall notify KDMC Xx. Xxxxxxxx of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, KDMC Xx. Xxxxxxxx may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with KDMC Xx. Xxxxxxxx prior to requiring KDMC Xx. Xxxxxxxx to terminate the IRO. However, the final determination as to whether or not to require KDMC Xx. Xxxxxxxx to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B INTERVENTIONAL CARDIAC PROCEDURES REVIEWCLAIMS REVIEW
Appears in 1 contract
Samples: Integrity Agreement
OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Section IIParagraph B, is not independent and objective as set forth in Section IV (or that the Legal IRO has a relationship to KDMC prohibited under Section IV)Paragraph D, or has failed to carry out its responsibilities as described in Section IIIParagraph C, OIG may, at its sole discretion, require KDMC Xxxxxxx-Xxxxxx to engage a new IRO in accordance with Section I Paragraph A of this Appendix. KDMC Xxxxxxx-Xxxxxx must engage a new IRO within 60 days of termination of the IRO. Prior to requiring KDMC Xxxxxxx-Xxxxxx to engage a new IRO, OIG shall notify KDMC Xxxxxxx-Xxxxxx of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, KDMC Xxxxxxx- Xxxxxx may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with KDMC Xxxxxxx-Xxxxxx prior to requiring KDMC Xxxxxxx-Xxxxxx to terminate the IRO. However, the final determination as to whether or not to require KDMC Xxxxxxx-Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B INTERVENTIONAL CARDIAC PROCEDURES REVIEWCLAIMS REVIEW
Appears in 1 contract
Samples: Corporate Integrity Agreement
OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Section IIParagraph B, is not independent and objective as set forth in Section IV (or that the Legal IRO has a relationship to KDMC prohibited under Section IV)Paragraph D, or has failed to carry out its responsibilities as described in Section IIIParagraph C, OIG may, at its sole discretion, require KDMC the CareAll Entities to engage a new IRO in accordance with Section I Paragraph A of this Appendix. KDMC The CareAll Entities must engage a new IRO within 60 days of termination of the IRO. Prior to requiring KDMC the CareAll Entities to engage a new IRO, OIG shall notify KDMC the CareAll Entities of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, KDMC the CareAll Entities may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with KDMC the CareAll Entities prior to requiring KDMC the CareAll Entities to terminate the IRO. However, the final determination as to whether or not to require KDMC the CareAll Entities to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B INTERVENTIONAL CARDIAC PROCEDURES REVIEWCLAIMS REVIEW
Appears in 1 contract
Samples: Corporate Integrity Agreement
OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Section IIParagraph B, is not independent and objective as set forth in Section IV (or that the Legal IRO has a relationship to KDMC prohibited under Section IV)Paragraph D, or has failed to carry out its responsibilities as described in Section IIIParagraph C, OIG may, at its sole discretion, require KDMC Harmony-Xxxxxx to engage a new IRO in accordance with Section I Paragraph A of this Appendix. KDMC Harmony-Xxxxxx must engage a new IRO within 60 days of termination of the IRO. Prior to requiring KDMC Harmony-Xxxxxx to engage a new IRO, OIG shall notify KDMC Harmony-Xxxxxx of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, KDMC Harmony- Xxxxxx may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with KDMC Harmony-Xxxxxx prior to requiring KDMC Harmony-Xxxxxx to terminate the IRO. However, the final determination as to whether or not to require KDMC Harmony-Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B INTERVENTIONAL CARDIAC PROCEDURES REVIEWCLAIMS REVIEW
Appears in 1 contract
Samples: Corporate Integrity Agreement