Common use of Probable Violation of Law Clause in Contracts

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event; b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event; c. the Federal health care programs affected by the Reportable Event; d. a description of the steps taken by Provider to identify and quantify any Overpayments; and e. a description of Provider’s actions taken to correct the Reportable Event and prevent it from recurring. If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Integrity Agreement

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Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider Practitioner to identify and quantify any Overpayments; andand‌ e. a description of ProviderPractitioner’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Practitioner shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. x. a description of the steps taken by Provider TEN to identify and quantify any Overpayments; andand‌ e. a description of ProviderTEN’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider TEN shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider to identify and quantify any Overpayments; andand‌ e. a description of Provider’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider DOCS to identify and quantify any Overpayments; andand‌ e. a description of ProviderXXXX’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider DOCS shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider Numotion to identify and quantify any Overpayments; andand‌ e. a description of ProviderNumotion’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Numotion shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event; b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event; c. the Federal health care programs affected by the Reportable Event; d. a description of the steps taken by Provider CCH to identify and quantify any Overpayments; and e. a description of ProviderCCH’s actions taken to correct the Reportable Event and prevent it from recurring. If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider CCH shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider [Practitioner] to identify and quantify any Overpayments; andand‌ e. a description of Provider[Practitioner]’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Xx. Xxxxx shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider Xxxxx to identify and quantify any Overpayments; andand‌ e. a description of ProviderXxxxx’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Arora shall repay the Overpayment, in accordance with the requirements of 42 42‌ U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. x. a description of the steps taken by Provider Xxxxxxx to identify and quantify any Overpayments; andand‌ e. a description of Provider’s Xxxxxxx’x actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Balotin shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider Lincare to identify and quantify any Overpayments; andand‌ e. a description of ProviderLincare’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Lincare shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. x. a description of the steps taken by Provider Xxxxxx to identify and quantify any Overpayments; andand‌ e. a description of ProviderXxxxxx’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Xxxxxx shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.repayment.‌‌

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event; b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event; c. the Federal health care programs affected by the Reportable Event; d. a description of the steps taken by Provider CII to identify and quantify any Overpayments; and e. a description of ProviderCII’s actions taken to correct the Reportable Event and prevent it from recurring. If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider CII shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event; b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event; c. the Federal health care programs affected by the Reportable Event; d. a description of the steps taken by Provider Xxxxx to identify and quantify any Overpayments; and e. a description of ProviderXxxxx’s actions taken to correct the Reportable Event and prevent it from recurring. If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Renew shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

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Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider Xxxxx to identify and quantify any Overpayments; andand‌ e. a description of Provider’s Xxxxx’x actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider [Provider] shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event; b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event; c. the Federal health care programs affected by the Reportable Event; d. a description of the steps taken by Provider JSK to identify and quantify any Overpayments; and e. a description of ProviderJSK’s actions taken to correct the Reportable Event and prevent it from recurring. If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider JSK shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event; b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event; c. the Federal health care programs affected by the Reportable Event; d. a description of the steps taken by Provider XXXXX to identify and quantify any Overpayments; and e. a description of ProviderXXXXX’s actions taken to correct the Reportable Event and prevent it from recurring. If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider RAPHA shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event; b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event; c. the Federal health care programs affected by the Reportable Event; d. a description of the steps taken by Provider Lincare to identify and quantify any Overpayments; and e. a description of ProviderLincare’s actions taken to correct the Reportable Event and prevent it from recurring. If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Lincare shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider Tauth to identify and quantify any Overpayments; andand‌ e. a description of ProviderTauth’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Tauth shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event; b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event; c. the Federal health care programs affected by the Reportable Event; d. a description of the steps taken by Provider Cigna to identify and quantify any Overpayments; and e. a description of ProviderCigna’s actions taken to correct the Reportable Event and prevent it from recurring. If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Cigna shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event; b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event; c. the Federal health care programs affected by the Reportable Event; d. a description of the steps taken by Provider Xxxxxxxxx to identify and quantify any Overpayments; and e. a description of ProviderXxxxxxxxx’s actions taken to correct the Reportable Event and prevent it from recurring. If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider Edgewater shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Probable Violation of Law. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;Event;‌ b. a statement of the Federal criminal, civil or administrative laws that are probably violated by the Reportable Event;Event;‌ c. the Federal health care programs affected by the Reportable Event;Event;‌ d. a description of the steps taken by Provider to identify and quantify any Overpayments; andand‌ e. a description of Provider’s actions taken to correct the Reportable Event and prevent it from recurring. recurring.‌ If the Reportable Event involves an Overpayment, within 60 days of identification of the Overpayment, Provider shall repay the Overpayment, in accordance with the requirements of 42 42‌ U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Samples: Corporate Integrity Agreement

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