Quarterly Claims Review. The IRO shall conduct a review of Kumar’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
Quarterly Claims Review. The IRO shall conduct a review of Xx. Xxxxxxxx and Fleckner, P.C.’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
Quarterly Claims Review. The IRO shall conduct a review of I&L’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether: (1) the prescription drugs furnished by I&L were dispensed according to a valid prescription, (2) I&L maintained appropriate documentation of a valid prescription for each drug dispensed (including any refills of such drug), and (3) whether the claims were correctly billed and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
Quarterly Claims Review. The IRO shall conduct a review of Choudhary- Rolla Neurology’s coding, billing, and claims submission to the Federal health care programs, and the reimbursement received, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
Quarterly Claims Review. The IRO shall conduct a review of Hanflink’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
Quarterly Claims Review. The IRO shall conduct a review of Xxxxx’ coding, billing, and claims submission to the Federal health care programs by or on behalf of Xxxxx, and the reimbursement received for ophthalmic services provided by Xxxxx, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
Quarterly Claims Review. The IRO shall conduct a review of Alaska Neurology’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
Quarterly Claims Review. The IRO shall conduct a review of Bhayani’s claims submitted to and reimbursed by Medicare, state Medicaid programs, or Medicaid managed care organizations to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
Quarterly Claims Review. The IRO shall conduct a review of CBHA’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
Quarterly Claims Review. The IRO shall conduct a review of Center for Pain Management’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether (a) the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed; and (b) whether any diagnostic testing ordered was medically reasonable and necessary, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.
