Common use of RECORDS AND AUDIT PROVISIONS Clause in Contracts

RECORDS AND AUDIT PROVISIONS. 6.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The PHP 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 PHP which would confirm compliance with this agreement and designation as an authorized PHP provider. (b) Conduct audits of 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 Deputy Director, 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 PHP and interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. (e) Release copies of final review reports (including reports of on-site reviews) under the Freedom of Information Act.

RECORDS AND AUDIT PROVISIONS. 6.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The PHP 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 PHP which would confirm compliance with this agreement and designation as an authorized PHP provider. (b) Conduct audits of 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 Deputy Executive Director, TMA, or a designee shall have full access to records of both TRICARE TRICARE/CHAMPUS and non-TRICARE non- 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 PHP and interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. (e) Release copies of final review reports (including reports of on-site reviews) under the Freedom of Information Act.