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 D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require the Provider to engage a new IRO in accordance with Paragraph A of this Appendix. The Provider must engage a new IRO within 60 days of termination of the IRO. Prior to requiring a Provider to engage a new IRO, OIG shall notify 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, 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 the Provider prior to requiring the Provider to terminate the IRO. However, the final determination as to whether or not to require the 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 D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require the Provider Trans-Star to engage a new IRO in accordance with Paragraph A of this Appendix. The Provider Trans-Star must engage a new IRO within 60 days of termination of the IRO. Prior to requiring a Provider Trans-Star to engage a new IRO, OIG shall notify the Provider Trans-Star 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, the Provider Trans-Star 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 the Provider Trans-Star prior to requiring the Provider Trans-Star to terminate the IRO. However, the final determination as to whether or not to require the Provider Trans-Star 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 D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require the Provider Mid Xxxxxx to engage a new IRO in accordance with Paragraph A of this Appendix. The Provider Xxx Xxxxxx must engage a new IRO within 60 days of termination of the IRO. Prior to requiring a Provider Mid Xxxxxx to engage a new IRO, OIG shall notify the Provider Mid 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, the Provider Xxx Xxxxxx may present additional information regarding the IRO’s qualifications, independence independence, or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with the Provider Mid Xxxxxx prior to requiring the Provider Mid Xxxxxx to terminate the IRO. However, the final determination as to whether or not to require the Provider Mid Xxxxxx 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 D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require the Provider Providers to engage a new IRO in accordance with Paragraph A of this Appendix. The Provider Providers must engage a new IRO within 60 days of termination of the IRO. Prior to requiring a Provider the Providers to engage a new IRO, OIG shall notify the Provider Providers 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, the Provider Providers 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 the Provider Providers prior to requiring the Provider Providers to terminate the IRO. However, the final determination as to whether or not to require the Provider Providers 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 D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require the Provider Providers to engage a new IRO in accordance with Paragraph A of this Appendix. The Provider Providers must engage a new IRO within 60 days of termination of the IRO. Prior to requiring a Provider the Providers to engage a new IRO, OIG shall notify the Provider Providers 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, the Provider Providers 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 the Provider Providers prior to requiring the Provider Providers to terminate the IRO. However, the final determination as to whether or not to require the Provider Providers 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 an IRO engaged by Xxxxx does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require the Provider Xxxxx to engage a new IRO in accordance with Paragraph A of this Appendix. The Provider Xxxxx must engage a new IRO within 60 days of termination of the an IRO. Prior to requiring a Provider Xxxxx to engage a new IRO, OIG shall notify the Provider Xxxxx 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, the Provider Xxxxx 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 the Provider Xxxxx prior to requiring the Provider Xxxxx to terminate the IRO. However, the final determination as to whether or not to require the Provider 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 any IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require the Provider Orthofix to engage a new IRO in accordance with Paragraph A of this Appendix. The Provider Orthofix must engage a new IRO within 60 days of termination of the IRO. Prior to requiring a Provider Orthofix to engage a new IRO, OIG shall notify the Provider Orthofix 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, the Provider Orthofix 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 the Provider Orthofix prior to requiring the Provider Orthofix to terminate the IRO. However, the final determination as to whether or not to require the Provider Orthofix to engage a new IRO shall be made at the sole discretion of OIGOIX.

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 D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require the Provider Xxxxxxx to engage a new IRO in accordance with Paragraph A of this Appendix. The Provider Xxxxxxx must engage a new IRO within 60 days of termination of the IRO. Prior to requiring a Provider Xxxxxxx to engage a new IRO, OIG shall notify the Provider Xxxxxxx 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, the Provider Xxxxxxx 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 the Provider Xxxxxxx prior to requiring the Provider Xxxxxxx to terminate the IRO. However, the final determination as to whether or not to require the Provider 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 D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require the Provider Ensign Group to engage a new IRO in accordance with Paragraph A of this Appendix. The Provider Ensign Group must engage a new IRO within 60 days of termination of the IRO. Prior to requiring a Provider Ensign Group to engage a new IRO, OIG shall notify the Provider Ensign Group 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, the Provider Ensign Group 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 the Provider Ensign Group prior to requiring the Provider Ensign Group to terminate the IRO. However, the final determination as to whether or not to require the Provider Ensign Group to engage a new IRO shall be made at the sole discretion of OIG.