REIMBURSEMENT STANDARDS. 7 1. CONTRACTOR shall take reasonable precaution to ensure that the coding of health care 8 claims and billing for same are prepared and submitted in an accurate and timely manner and are 9 consistent with federal, state and county laws and regulations. This includes compliance with federal 10 and state health care program regulations and procedures or instructions otherwise communicated by 11 regulatory agencies including the Centers for Medicare and Medicaid Services or their agents.
12 2. CONTRACTOR shall submit no false, fraudulent, inaccurate or fictitious claims for 13 payment or reimbursement of any kind.
14 3. CONTRACTOR shall xxxx only for those eligible services actually rendered which are also 15 fully documented. When such services are coded, CONTRACTOR shall use accurate billing codes to 16 accurately describe the services provided and to ensure compliance with all billing and documentation 17 requirements.
18 4. CONTRACTOR shall act promptly to investigate and correct any problems or errors in 19 coding of claims and billing, if and when, any such problems or errors are identified.
REIMBURSEMENT STANDARDS. 2 C 1. INTERMEDIARY shall take reasonable precaution to ensure that the coding of health care 3 claims, xxxxxxxx and/or invoices for same are prepared and submitted in an accurate and timely manner 4 and are consistent with federal, state and county laws and regulations. This includes compliance with 5 federal and state health care program regulations and procedures or instructions otherwise 6 communicated by regulatory agencies including the Centers for Medicare and Medicaid Services or 7 their agents.
REIMBURSEMENT STANDARDS. 7 1. CONTRACTOR shall take reasonable precaution to ensure that the coding of health care 8 claims, xxxxxxxx and/or invoices for same are prepared and submitted in an accurate and timely manner 9 and are consistent with federal, state and county laws and regulations. This includes compliance with 10 federal and state health care program regulations and procedures or instructions otherwise 11 communicated by regulatory agencies including the Centers for Medicare and Medicaid Services or 12 their agents.
REIMBURSEMENT STANDARDS. 7 1. CONTRACTOR shall take reasonable precaution to ensure that the coding of health care 8 claims and billing for same are prepared and submitted in an accurate and timely manner and are 9 consistent with federal, state and county laws and regulations.
10 2. CONTRACTOR shall submit no false, fraudulent, inaccurate or fictitious claims for 11 payment or reimbursement of any kind.
12 3. CONTRACTOR shall bill only for those eligible services actually rendered which are also 13 fully documented. When such services are coded, CONTRACTOR shall use accurate billing codes to 14 accurately describe the services provided and to ensure compliance with all billing and documentation 15 requirements.
16 4. CONTRACTOR shall act promptly to investigate and correct any problems or errors in 17 coding of claims and billing, if and when, any such problems or errors are identified.
REIMBURSEMENT STANDARDS. 23 1. CONTRACTOR shall take reasonable precaution to ensure that the coding of health care 24 claims and billing for same are prepared and submitted in an accurate and timely manner and are 25 consistent with federal, state and county laws and regulations. This includes compliance with federal 26 and state health care program regulations and procedures or instructions otherwise communicated by 27 regulatory agencies including the Centers for Medicare and Medicaid Services or their agents.
28 2. CONTRACTOR shall submit no false, fraudulent, inaccurate or fictitious claims for 29 payment or reimbursement of any kind.
30 3. CONTRACTOR shall xxxx only for those eligible services actually rendered which are also 31 fully documented. When such services are coded, CONTRACTOR shall use only correctaccurate and documentation requirements. 32 billing codes thatto accurately describe the services provided and to ensure compliance with all billing 33
34 4. CONTRACTOR shall act promptly to investigate and correct any problems or errors in 35 coding of claims and billing, if and when, any such problems or errors are identified. 36 EF. COMPLIANCE TRAINING - ADMINISTRATOR shall make General Compliance Training 37 and Provider Compliance Training, where appropriate, available to Covered PersonsIndividuals. 8 of 23
1 1. CONTRACTOR shall use its best effort to encourage completion of Covered Persons to 2 complete all Compliance Trainings when offered.
3 2. Such training will be made available to Covered PersonsIndividuals within thirty (30) 4 calendar days of employment or engagement.
REIMBURSEMENT STANDARDS. 30 1. HOSPITAL shall take reasonable precaution to ensure that the coding of health care claims, 31 xxxxxxxx and/or invoices for same are prepared and submitted in an accurate and timely manner and are 32 consistent with federal, state and county laws and regulations.
33 2. HOSPITAL shall submit no false, fraudulent, inaccurate or fictitious claims for payment or 34 reimbursement of any kind.
35 3. HOSPITAL shall xxxx only for those eligible services actually rendered which are also fully 36 documented. When such services are coded, HOSPITAL shall use accurate billing codes to accurately 37 describe the services provided and to ensure compliance with all billing and documentation
2 4. HOSPITAL shall act promptly to investigate and correct any problems or errors in coding 3 of claims and billing, if and when, any such problems or errors are identified.
REIMBURSEMENT STANDARDS. 15 1. INTERMEDIARY shall take reasonable precaution to ensure that the coding of health care 16 claims, xxxxxxxx and/or invoices for same are prepared and submitted in an accurate and timely manner 17 and are consistent with federal, state and county laws and regulations. This includes compliance with 18 federal and state health care program regulations and procedures or instructions otherwise 19 communicated by regulatory agencies including the Centers for Medicare and Medicaid Services or 20 their agents.
21 2. INTERMEDIARY shall submit no false, fraudulent, inaccurate or fictitious claims for 22 payment or reimbursement of any kind.
REIMBURSEMENT STANDARDS. 22 1. CONTRACTOR shall take reasonable precaution to ensure that the coding of health care 23 claims, xxxxxxxx and/or invoices for same are prepared and submitted in an accurate and timely manner 24 and are consistent with federal, state and county laws and regulations.
25 2. CONTRACTOR shall submit no false, fraudulent, inaccurate or fictitious claims for 26 payment or reimbursement of any kind.
27 3. CONTRACTOR shall bill only for those eligible services actually rendered which are also 28 fully documented. When such services are coded, CONTRACTOR shall use accurate billing codes to 29 accurately describe the services provided and to ensure compliance with all billing and documentation 30 requirements.
31 4. CONTRACTOR shall act promptly to investigate and correct any problems or errors in 32 coding of claims and billing, if and when, any such problems or errors are identified.
REIMBURSEMENT STANDARDS. 7 1. CONTRACTOR shall take reasonable precaution to ensure that the coding of health care 8 claims and billing for same are prepared and submitted in an accurate and timely manner and are 9 consistent with federal, state and county laws and regulations. This includes compliance with federal 10 and state health care program regulations and procedures or instructions otherwise communicated by 11 regulatory agencies including the Centers for Medicare and Medicaid Services or their agents.
12 2. CONTRACTOR shall submit no false, fraudulent, inaccurate or fictitious claims for 13 payment or reimbursement of any kind. and to ensure compliance with all billing
14 3. CONTRACTOR shall xxxx only for those eligible services actually rendered which are also 15 fully documented. When such services are coded, CONTRACTOR shall use only correct and documentation requirements. 16 billing codes thatto accurately describe the services provided 17 18 4. CONTRACTOR shall act promptly to investigate and correct any problems or errors in 19 coding of claims and billing, if and when, any such problems or errors are identified. 20 EF. COMPLIANCE TRAINING - ADMINISTRATOR shall make General Compliance Training 21 and Provider Compliance Training, where appropriate, available to Covered Individuals.
22 1. CONTRACTOR shall use its best efforts to encourage completion by Covered Individuals; 23 provided, however, that at a minimum CONTRACTOR shall assign at least one (1) designated 24 representative to complete all Compliance Trainings when offered.
25 2. Such training will be made available to Covered Individuals within thirty (30) calendar 26 days of employment or engagement.
REIMBURSEMENT STANDARDS. 1. Contractor shall take reasonable precaution to ensure that the coding of health care claims, xxxxxxxx and/or invoices for same are prepared and submitted in an accurate and timely manner and are consistent with federal, state and county laws and regulations. This includes compliance with federal and state health care program regulations and procedures or instructions otherwise communicated by regulatory agencies including the Centers for Medicare and Medicaid Services or their agents.
2. Contractor shall submit no false, fraudulent, inaccurate or fictitious claims for payment or reimbursement of any kind.
3. Contractor shall xxxx only for those eligible services actually rendered which are also fully documented. When such services are coded, Contractor shall use only correct billing codes that accurately describe the services provided and to ensure compliance with all billing and documentation requirements.
4. Contractor shall act promptly to investigate and correct any problems or errors in coding of claims and billing, if and when, any such problems or errors are identified.
