Common use of RECORDS AND AUDIT PROVISIONS Clause in Contracts

RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS AND AUDITS The BC grants the Director, DHA [or authorized representative(s)], the right to conduct quality assurance audits or accounting (record) audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit and/or review includes, but is not limited to: (a) Examine fiscal and all other records of the BC which would confirm compliance with this agreement and designation as an authorized TRICARE BC provider. (b) Conduct such audits of BC records including clinical, financial, and census records, as may be necessary to determine the nature of the services being provided, and the basis for charges and claims against the United States for services provided TRICARE beneficiaries. (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 BC and to interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required.

RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS AND AUDITS The BC grants the Deputy Director, DHA TMA [or authorized representative(s)], the right to conduct quality assurance audits or accounting (record) audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit and/or review includes, but is not limited to: (a) Examine fiscal and all other records of the BC which would confirm compliance with this agreement and designation as an authorized TRICARE BC provider. (b) Conduct such audits of BC records including clinical, financial, and census records, as may be necessary to determine the nature of the services being provided, and the basis for charges and claims against the United States for services provided TRICARE beneficiaries. (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 BC and to interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required.

RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS AND AUDITS The BC grants the Executive Director, DHA TMA [or authorized representative(s)], the right to conduct quality assurance audits or accounting (record) audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit and/or review includes, but is not limited to: (a) Examine fiscal and all other records of the BC which would confirm compliance with this agreement and designation as an authorized TRICARE TRICARE/CHAMPUS BC provider. (b) Conduct such audits of BC records including clinical, financial, and census records, as may be necessary to determine the nature of the services being provided, and the basis for charges and claims against the United States for services provided TRICARE TRICARE/ CHAMPUS beneficiaries. (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 BC and to interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required.

RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS AND AUDITS The BC grants the Director, DHA TMA [or authorized representative(s)], the right to conduct quality assurance audits or accounting (record) audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit and/or review includes, but is not limited to: (a) Examine fiscal and all other records of the BC which would confirm compliance with this agreement and designation as an authorized TRICARE TRICARE/CHAMPUS BC provider. (b) Conduct such audits of BC records including clinical, financial, and census records, as may be necessary to determine the nature of the services being provided, and the basis for charges and claims against the United States for services provided TRICARE TRICARE/ CHAMPUS beneficiaries. (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 BC and to interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required.