Common use of RECORDS AND AUDIT PROVISIONS Clause in Contracts

RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The SUDRF grants the Deputy Director, TMA 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 may 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 SUDRF that would confirm compliance with this agreement and designation as a TRICARE-authorized provider. (b) Conduct audits of SUDRF 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 TRICARE beneficiaries. TMA or a designee shall have full access to records of both TRICARE and non-TRICARE patients. (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 SUDRF and interviewing employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. (e) Release copies of final review reports if requested under the Freedom of Information Act.

RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The SUDRF grants the Deputy Executive Director, TMA 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 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: (a) Examine fiscal and all other records of the SUDRF that would confirm compliance with this agreement and designation as a TRICARE-authorized provider. (b) Conduct audits of SUDRF 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 TRICARE TRICARE/CHAMPUS beneficiaries. TMA or a designee shall have full access to records of both TRICARE TRICARE/ CHAMPUS and non-TRICARE TRICARE/CHAMPUS patients. (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 SUDRF and interviewing employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. (e) Release copies of final review reports if requested under the Freedom of Information Act.