Common use of Provider Audits Clause in Contracts

Provider Audits. Providers receiving funds under this Agreement for providing A&D 82 Services are subject to audit of all funds applicable to A&D 82 Services rendered. The audit ensures that proper disbursements were made for covered Services, to recover overexpenditures, to discover possible instances of fraud and abuse, and to verify that encounter data submissions are documented in the client file as described in Section 3.c. above. OHA may apply the Division of Medical Assistance Program (DMAP) Provider Audit rules and the Fraud and Abuse rules to Providers of A&D 82 Services in accordance with OAR 407-120-1505 Provider and Contractor Audits, Appeals and Post Payment Recoveries and 410- 120-1510 Fraud and Abuse, as such rules may be revised from time to time.

Provider Audits. Providers receiving funds under this Agreement for providing A&D 82 83 Services are subject to audit of all funds applicable to A&D 82 83 Services rendered. The audit ensures that proper disbursements were made for covered Services, to recover overexpendituresover expenditures, to discover possible instances of fraud and abuse, and to verify that encounter data submissions are documented in the client file as described in Section 3.c. the “Encounter Data Reporting Requirements” section above. OHA may apply the Division of Medical Assistance Program Health Systems Division’s (DMAPHSD) Provider Audit rules and the Fraud and Abuse rules to Providers of A&D 82 Services 83 Services, in accordance with OAR 407-120-1505 Provider and Contractor Audits, Appeals and Post Payment Recoveries Recoveries; and 410- OAR 410-120-1510 Fraud and Abuse, as such rules may be revised from time to time.

Provider Audits. Providers receiving funds under this Agreement for providing A&D 82 81 Services are subject to audit of all funds applicable to A&D 82 81 Services rendered. The audit ensures that proper disbursements were made for covered Services, to recover overexpendituresoverpayments, to discover possible instances of fraud and abuse, and to verify that encounter data submissions are documented in the client file as described in Section 3.c. the “Special Reporting Requirements” section above. OHA may apply the Health Systems Division of Medical Assistance Program (DMAPHSD) Provider Audit rules and the Fraud and Abuse rules to Providers of A&D 82 81 Services funded through this Agreement in accordance with OAR 407-120-1505 Provider and Contractor Audits, Appeals Appeals, and Post Payment Recoveries Recovery; and 410- OAR 410-120-1510 0380 Fraud and Abuse, as such rules may be revised from time to time.

Provider Audits. Providers receiving funds under this Agreement for providing A&D 82 Services are subject to audit of all funds applicable to A&D 82 Services rendered. The audit ensures that proper disbursements were made for covered Services, to recover overexpendituresover expenditures, to discover possible instances of fraud and abuse, and to verify that encounter data submissions are documented in the client file as described in Section 3.c. the “Special Reporting Requirements” section above. OHA may apply the Division of Medical Assistance Program (DMAP) Provider Audit rules and the Fraud and Abuse rules to Providers of A&D 82 Services in accordance with OAR 407-120-1505 Provider and Contractor Audits, Appeals and Post Payment Recoveries Recoveries; and 410- OAR 410-120-1510 Fraud and Abuse, as such rules may be revised from time to time.