Common use of Repayment of Identified Overpayments Clause in Contracts

Repayment of Identified Overpayments. Xxxxx shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If Xxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from Xxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.

Appears in 2 contracts

Samples: Integrity Agreement, Integrity Agreement

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Repayment of Identified Overpayments. Xxxxx Xx. Xxxxxx shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If Xxxxx Xx. Xxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xxxxx Xx. Xxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xxxxx Xx. Xxxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from Xxxxx Xx. Xxxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.

Appears in 2 contracts

Samples: Integrity Agreement, Integrity Agreement

Repayment of Identified Overpayments. Xxxxx Xxxxxx shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If Xxxxx Xxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xxxxx Xxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xxxxx Xxxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from Xxxxx Xxxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.

Appears in 2 contracts

Samples: Integrity Agreement, Integrity Agreement

Repayment of Identified Overpayments. Xxxxx Xx. Xxxxxxxx shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If Xxxxx Xx. Xxxxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xxxxx Xx. Xxxxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xxxxx Xx. Xxxxxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from Xxxxx Xx. Xxxxxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.

Appears in 1 contract

Samples: Integrity Agreement

Repayment of Identified Overpayments. Xx. Xxxxx shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and 42 C.F.R. §§ 401.301- 305 (and any applicable regulations and Centers for Medicare and Medicaid Services (CMSCMS guidance) guidance (the “CMS overpayment rule”). If Xx. Xxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xx. Xxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xx. Xxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from Xx. Xxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.payor.‌

Appears in 1 contract

Samples: Integrity Agreement

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Repayment of Identified Overpayments. Xxxxx Xx. Xxxxxxx shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and 42 C.F.R. §§ 401.301- 305 (and any applicable regulations and Centers for Medicare and Medicaid Services (CMSCMS guidance) guidance (the “CMS overpayment rule”). If Xxxxx Xx. Xxxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xxxxx Xx. Xxxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xxxxx Xx. Xxxxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from Xxxxx Xx. Xxxxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.payor.‌‌

Appears in 1 contract

Samples: Integrity Agreement

Repayment of Identified Overpayments. Xxxxx Xxxxxx shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and 42 C.F.R. §§ 401.301-305 (and any applicable regulations and Centers for Medicare and Medicaid Services (CMSCMS guidance) guidance (the “CMS overpayment rule”). If Xxxxx Xxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xxxxx Xxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xxxxx Xxxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from Xxxxx Xxxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.

Appears in 1 contract

Samples: Integrity Agreement

Repayment of Identified Overpayments. Xxxxx Xxxxxx shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims SampleSamples, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and 42 C.F.R. §§ 401.301-305 (and any applicable regulations and Centers for Medicare and Medicaid Services (CMSCMS guidance) guidance (the “CMS overpayment rule”). If Xxxxx Xxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xxxxx Xxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xxxxx Xxxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample Samples (and any related work papers) received from Xxxxx Xxxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.payor.‌‌

Appears in 1 contract

Samples: Integrity Agreement

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