Common use of Quarterly Claims Review Clause in Contracts

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 I&L’s Xxxxxx’x claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether: (1) the prescription drugs furnished by I&L Xxxxxx were dispensed according to a valid prescription, (2) I&L Xxxxxx 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 I&LProvider’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether: : (1) the prescription drugs furnished by I&L Provider were dispensed according to a valid prescription, (2) I&L Provider 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 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.‌IA.

Quarterly Claims Review. The IRO shall conduct a review of I&LLCPCC’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether: (1) the prescription drugs furnished by I&L LCPCC were dispensed according to a valid prescription, (2) I&L LCPCC 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.‌