Repayment of Estimated Overpayment. The findings of each Claims Review Sample shall be used by the IRO to estimate the actual Overpayment in the Population with the point estimate and a two-sided 90% confidence interval. Within 60 days of receipt of the Claims Review Report, CHN shall repay the lower limit of the two-sided 90% confidence interval (Estimated Overpayment) to the Centers for Medicare and Medicaid Services (CMS). Documentation of CHN’s refund of the Estimated Overpayment to CMS shall be submitted to OIG with CHN’s Annual Report. OIG, in its sole discretion, may refer the findings of any Claims Review Sample to CMS for appropriate follow up.
Repayment of Estimated Overpayment. The findings of each Review Sample shall be used by the IRO to estimate the actual Overpayment in the Population for that Review Sample with the point estimate and a two-sided 90% confidence interval. Within 60 days of receipt of the Claims Review Report, Lincare shall repay the lower limit of the two-sided 90% confidence interval (Estimated Overpayment) to the applicable payor(s). Documentation of Xxxxxxx’s refund of the Estimated Overpayment to the applicable payor(s) shall be submitted to OIG with Xxxxxxx’s Annual Report. OIG, in its sole discretion, may refer the findings of any Review Sample to the applicable payor(s) for appropriate follow up.
Repayment of Estimated Overpayment. The findings of the Claims Review Sample shall be used by the IRO to estimate the actual Overpayment in the Population with the point estimate and a two-sided 90% confidence interval. Within 60 days of receipt of the Claims Review Report, CFS shall repay the lower limit of the two-sided 90% confidence interval (Estimated Overpayment) to the applicable payor. Documentation of CFS’s refund of the Estimated Overpayment to the applicable payor shall be submitted to OIG with CFS’s Annual Report. OIG, in its sole discretion, may refer the findings of the Claims Review Sample to the applicable payor for appropriate follow up.
Repayment of Estimated Overpayment. The findings of the Claims Review Sample shall be used by the IRO to estimate the actual Overpayment in the Population with the point estimate and a two-sided 90% confidence interval. Within 60 days of receipt of the Claims Review Report, RAPHA shall repay the lower limit of the two-sided 90% confidence interval (Estimated Overpayment) to the applicable payors. Documentation of RAPHA’s refund of the Estimated Overpayment to the applicable payors shall be submitted to OIG with RAPHA’s Annual Report. OIG, in its sole discretion, may refer the findings of the Claims Review Sample to the applicable payors for appropriate follow up.
Repayment of Estimated Overpayment. The findings of the Claims Review Sample shall be used by the IRO to estimate the actual Overpayment in the Population with the point estimate and a two-sided 90% confidence interval. Within 60 days of receipt of the Claims Review Report, Xx. Xxxxxx shall repay the lower limit of the two-sided 90% confidence interval (Estimated Overpayment) to the Centers for Medicare and Medicaid Services (CMS). Documentation of Xx. Xxxxxx’x refund of the Estimated Overpayment to CMS shall be submitted to OIG with Xx. Xxxxxx’x Annual Report. OIG, in its sole discretion, may refer the findings of the Claims Review Sample to CMS for appropriate follow up.
Repayment of Estimated Overpayment. The findings of each Claims Review Sample shall be used by the IRO to estimate the actual Overpayment in the Population for each Florida Cardiology Location subject to the Claims Review with the point estimate and a two- sided 90% confidence interval. Within 60 days of receipt of the Claims Review Report, Florida Cardiology shall repay the lower limit of the two-sided 90% confidence interval (Estimated Overpayment) to the Centers for Medicare and Medicaid Services (CMS). Documentation of Florida Cardiology’s refund of the Estimated Overpayment to CMS shall be submitted to OIG with Florida Cardiology’s Annual Report. OIG, in its sole discretion, may refer the findings of any Claims Review Sample to CMS for appropriate follow up.
Repayment of Estimated Overpayment. The findings of each Claims Review Sample shall be used by the IRO to estimate the actual Overpayment in the applicable Population with the point estimate and a two-sided 90% confidence interval. Within 60 days of receipt of the Claims Review Report, Sierra Vista and Twin Cities shall repay the lower limit of the two- sided 90% confidence interval (Estimated Overpayment) to the Centers for Medicare and Medicaid Services (CMS) or the applicable Medicaid Managed Care Organization. Documentation of Sierra Vista’s and Twin Cities’ refund of the Estimated Overpayment to CMS or a Medicaid Managed Care Organization shall be submitted to OIG with the Annual Report. OIG, in its sole discretion, may refer the findings of the Claims Review Samples to the applicable payor(s) for appropriate follow up.
Repayment of Estimated Overpayment. The findings of each Record Review Sample shall be used by the IRO to estimate the actual Overpayment in the Population Subset for that Record Review Sample (Estimated Overpayment) for the Subject Plan. Within 60 days of receipt of the Record Review Report, Cigna shall take appropriate corrective or remedial action, including reporting and/or returning of overpayments in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and 42 C.F.R. § 422.326 (and any applicable CMS guidance). Documentation of Cigna’s refund or reporting of the Estimated Overpayment to CMS shall be submitted to OIG with Cigna’s Annual Report. OIG, in its sole discretion, may refer the findings of any Record Review Sample to CMS for appropriate follow up.
Repayment of Estimated Overpayment. The findings of the Claims Review Sample shall be used by the IRO to estimate the actual Overpayment in the Population with the point estimate and a two-sided 90% confidence interval. Within 60 days of receipt of the Claims Review Report, DOCS shall repay the lower limit of the two-sided 90% confidence interval (Estimated Overpayment) to the applicable Medicaid program . Documentation of DOCS’s refund of the Estimated Overpayment to the applicable payor(s) shall be submitted to OIG with DOCS’s Annual Report. OIG, in its sole discretion, may refer the findings of the Claims Review Sample to the applicable Medicaid program for appropriate follow up.
Repayment of Estimated Overpayment. The findings of the Claims Review Sample shall be used by the IRO to estimate the actual Overpayment in the Population with the point estimate and a two-sided 90% confidence interval. Within 60 days of receipt of the Claims Review Report, Eastern Iowa Dermatology shall repay the lower limit of the two-sided 90% confidence interval (Estimated Overpayment) to the Centers for Medicare and Medicaid Services (CMS). Documentation of Eastern Iowa Dermatology’s refund of the Estimated Overpayment to CMS shall be submitted to OIG with Eastern Iowa Dermatology’s Annual Report. OIG, in its sole discretion, may refer the findings of the Claims Review Sample to CMS for appropriate follow up.
