Common use of Repayment of Identified Overpayments Clause in Contracts

Repayment of Identified Overpayments. 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 Xx. Xxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xx. Xxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. 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 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

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Repayment of Identified Overpayments. 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 Xx. Xxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xx. Xxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. 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 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. Xx. Xxxxxx 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 Xx. Xxxxxx Xxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xx. Xxxxxx Xxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xx. Xxxxxx 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. Xxxxxx 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

Repayment of Identified Overpayments. Xx. Xxxxxx Xxxx Clinic 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 Xx. Xxxxxx Xxxx Clinic determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xx. Xxxxxx Xxxx Clinic shall repay that amount at the mean point estimate as calculated by the IRO. Xx. Xxxxxx Xxxx Clinic 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. Xxxxxx Xxxx Clinic 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. Xxxxxx 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. Xxxxxx Xxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xx. Xxxxxx Xxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xx. Xxxxxx 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. Xxxxxx 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. 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 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. Xxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xx. Xxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. 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 Xx. 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. Xx. Xxxxxx 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 Xx. Xxxxxx Xxxxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xx. Xxxxxx Xxxxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xx. Xxxxxx 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 Xx. Xxxxxx 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. Xxxxxx 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 Xx. Xxxxxx Xxxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xx. Xxxxxx Xxxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xx. Xxxxxx 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 Xx. Xxxxxx 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

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