Common use of RECORDS AND AUDIT PROVISIONS Clause in Contracts

RECORDS AND AUDIT PROVISIONS. ‌‌ 5.1‌‌ ON-SITE AND OFF-SITE REVIEWS/AUDITS The IOP grants the Director, DHA [or authorized representative(s)], the right to conduct on-site or off-site reviews or accounting audits with full access to patients and records. The audits will be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/review includes, but is not limited to, the right to:‌ (a)‌ Examine fiscal and all other records of the IOP which would confirm compliance with this agreement and designation as an authorized IOP provider. (b)‌ Conduct audits of IOP records including clinical, financial, and census records to determine the nature of the services being provided, and the basis for charges and claims against the United States for services provided to beneficiaries. The Director, DHA, or a designee shall have full access to records of both TRICARE and non-TRICARE patients. Note: In most cases, only TRICARE patients’ records will be audited. Examples of situations where non-TRICARE patient records would be requested may be in situations of differential quality of care assessments or to identify systemic quality and safety concerns. (c)‌ Examine reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. (d)‌ Conduct on-site inspections of the facilities of the IOP and interview employees, members of the staff, contractors, board members, volunteers, and patients, as required. (e)‌ Release copies of final review reports (including reports of on-site reviews) under the Freedom of Information Act (FOIA).

RECORDS AND AUDIT PROVISIONS. ‌‌ 5.1‌‌ 6.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The IOP PHP grants the Director, DHA [or authorized representative(s)], the right to conduct on-on- site or off-site reviews or accounting audits with full access to patients and records. The audits will may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/review includes, but is not limited to, the right to:‌ to: (a)‌ a) Examine fiscal and all other records of the IOP PHP which would confirm compliance with this agreement and designation as an authorized IOP PHP provider. . (b)‌ b) Conduct audits of IOP PHP records including clinical, financial, and census records to determine the nature of the services being provided, and the basis for charges and claims against the United States for services provided to beneficiaries. The Director, DHA, or a designee shall have full access to records of both TRICARE and non-TRICARE patients. Note: In most cases, only TRICARE patients’ records will be audited. Examples of situations where non-TRICARE patient records would be requested may be in situations of differential quality of care assessments or to identify systemic quality and or safety concerns. . (c)‌ c) Examine reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. . (d)‌ d) Conduct on-site inspections of the facilities of the IOP PHP and interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. . (e)‌ e) Release copies of final review reports (including reports of on-site reviews) under the Freedom of Information Act (FOIA)Act.

RECORDS AND AUDIT PROVISIONS. ‌‌ 5.1‌‌ 6.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The IOP RTC grants the Director, DHA [DHA, or authorized representative(s)], the right to conduct on-site or off-site reviews or accounting audits with full access to patients and records. The reviews or audits will may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/audit/ review includes, but is not limited to, the right to:‌ to: (a)‌ a) Examine fiscal and all other records of the IOP which RTC that would confirm compliance with this agreement and designation as an a TRICARE-authorized IOP RTC provider. . (b)‌ b) Conduct audits of IOP records RTC records, including clinical, financial, and census records to determine the nature of the services being provided, provided and the basis for charges and claims against the United States for services provided to TRICARE beneficiaries. The Director, DHA, DHA or a designee shall have full access to records of both TRICARE and non-TRICARE patients. Note: In most cases, only TRICARE patients’ records will be audited. Examples of situations where non-TRICARE patient records would be requested may be in situations of differential quality of care assessments or to identify systemic quality and safety concerns. . (c)‌ c) Examine reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. . (d)‌ d) Conduct on-site inspections of the facilities of the IOP RTC and interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. . (e)‌ e) Release copies of final review reports (including reports of on-site reviews) under the Freedom of Information Act (FOIA)Act.

RECORDS AND AUDIT PROVISIONS. ‌‌ 5.1‌‌ 5.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The IOP grants the Director, DHA [or authorized representative(s)], the right to conduct on-on- site or off-site reviews or accounting audits with full access to patients and records. The audits will may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/review includes, but is not limited to, the right to:‌ to: (a)‌ a) Examine fiscal and all other records of the IOP which would confirm compliance with this agreement and designation as an authorized IOP provider. . (b)‌ b) Conduct audits of IOP records including clinical, financial, and census records to determine the nature of the services being provided, and the basis for charges and claims against the United States for services provided to beneficiaries. The Director, DHA, or a designee shall have full access to records of both TRICARE and non-TRICARE patients. Note: In most cases, only TRICARE patients’ records will be audited. Examples of situations where non-TRICARE patient records would be requested may be in situations of differential quality of care assessments or to identify systemic quality and safety concerns. . (c)‌ c) Examine reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. . (d)‌ d) Conduct on-site inspections of the facilities of the IOP and interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. . (e)‌ e) Release copies of final review reports (including reports of on-site reviews) under the Freedom of Information Act (FOIA)Act.

RECORDS AND AUDIT PROVISIONS. ‌‌ 5.1‌‌ 5.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The IOP OTP grants the Director, DHA [or authorized representative(s)], the right to conduct on-on- site or off-site reviews or accounting audits with full access to patients and records. The audits will may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/review includes, but is not limited to, the right to:‌ to: (a)‌ a) Examine fiscal and all other records of the IOP OTP which would confirm compliance with this agreement and designation as an authorized IOP OTP provider. . (b)‌ b) Conduct audits of IOP OTP records including clinical, financial, and census records to determine the nature of the services being provided, and the basis for charges and claims against the United States for services provided to beneficiaries. The Director, DHA, or a designee shall have full access to records of both TRICARE and non-TRICARE patients. Note: In most cases, only TRICARE patients’ records will be audited. Examples of situations where non-TRICARE patient records would be requested may be in situations of differential quality of care assessments or to identify systemic quality and or safety concerns. . (c)‌ c) Examine reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. . (d)‌ d) Conduct on-site inspections of the facilities of the IOP OTP and interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. . (e)‌ e) Release copies of final review reports (including reports of on-site reviews) under the Freedom of Information Act (FOIA)Act.

RECORDS AND AUDIT PROVISIONS. ‌‌ 5.1‌‌ 5.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The IOP SUDRF grants the Director, DHA [DHA, or authorized representative(s)], the right to conduct on-on- site or off-site reviews or accounting audits with full access to patients and records. The audits will may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/review includes, but is not limited to, to the right to:‌ to: (a)‌ a) Examine fiscal and all other records of the IOP which SUDRF that would confirm compliance with this agreement and designation as an a TRICARE-authorized IOP provider. . (b)‌ b) Conduct audits of IOP records SUDRF records, including clinical, financial, and census records to determine the nature of the services being provided, provided and the basis for charges and claims against the United States for services provided to TRICARE beneficiaries. The Director, DHA, DHA or a designee shall have full access to records of both TRICARE and non-TRICARE patients. Note: In most cases, only TRICARE patients’ records will be audited. Examples of situations where non-TRICARE patient records would be requested may be in situations of differential quality of care assessments or to identify systemic quality and or safety concerns. . (c)‌ c) Examine reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. . (d)‌ d) Conduct on-site inspections of the facilities of the IOP SUDRF and interview interviewing employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. . (e)‌ e) Release copies of final review reports (including reports of on-site reviews) if requested under the Freedom of Information Act (FOIA)Act.