Common use of RECORDS AND AUDIT PROVISIONS Clause in Contracts

RECORDS AND AUDIT PROVISIONS. 4.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The hospice program grants the Deputy Director, TMA, or his designee 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. The right to audit/ review includes, but is not limited to: (a) Examination of fiscal and all other records of the hospice program which would confirm compliance with this agreement and designation as an authorized TRICARE hospice provider. (b) Audits of hospice program 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 TRICARE beneficiaries. TMA or a designee shall have full access to records of both TRICARE and non-TRICARE patients. (c) Examination of reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. 4.2 RIGHT TO UNANNOUNCED INSPECTION OF RECORDS (a) TMA, or its designee, shall have the authority to visit and inspect the hospice program at all reasonable times on an unannounced basis. (b) The hospice program’s records shall be available and open for review by TMA during normal working hours (8am to 5pm, Monday through Friday) on an unannounced basis.

RECORDS AND AUDIT PROVISIONS. 4.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The hospice program grants the Deputy Executive Director, TMA, or his designee 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. The right to audit/ audit/review includes, but is not limited to: (a) Examination of fiscal and all other records of the hospice program which would confirm compliance with this agreement and designation as an authorized TRICARE TRICARE/ CHAMPUS hospice provider. (b) Audits of hospice program 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 TRICARE TRICARE/CHAMPUS beneficiaries. TMA or a designee shall have full access to records of both TRICARE TRICARE/CHAMPUS and non-TRICARE non- TRICARE/CHAMPUS patients. (c) Examination of reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. 4.2 RIGHT TO UNANNOUNCED INSPECTION OF RECORDS (a) TMA, or its designee, shall have the authority to visit and inspect the hospice program at all reasonable times on an unannounced basis. (b) The hospice program’s records shall be available and open for review by TMA during normal working hours (8am to 5pm, Monday through Friday) on an unannounced basis.

RECORDS AND AUDIT PROVISIONS. 4.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The hospice program grants the Deputy Executive Director, TMA, or his designee 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. The right to audit/ audit/review includes, but is not limited to: (a) Examination of fiscal and all other records of the hospice program which would confirm compliance with this agreement and designation as an authorized TRICARE TRICARE/ CHAMPUS hospice provider. (b) Audits of hospice program 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 TRICARE TRICARE/CHAMPUS beneficiaries. TMA or a designee shall have full access to records of both TRICARE TRICARE/CHAMPUS and non-TRICARE non- TRICARE/CHAMPUS patients. (c) Examination of reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. 4.2 RIGHT TO UNANNOUNCED INSPECTION OF RECORDS (a) TMA, or its designee, shall have the authority to visit and inspect the hospice program at all reasonable times on an unannounced basis. (b) The hospice program’s 's records shall be available and open for review by TMA during normal working hours (8am to 5pm, Monday through Friday) on an unannounced basis.