Common use of Repayment of Identified Overpayments Clause in Contracts

Repayment of Identified Overpayments. Genova shall repay within 60 days the Overpayment(s) identified by the IRO in the Claims Review 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 Genova determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Genova shall repay that amount at the mean point estimate as calculated by the IRO. Genova 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 Claims Review Sample (and any related work papers) received from Genova to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the payor.

Repayment of Identified Overpayments. Genova Providence shall repay within 60 days the any Overpayment(s) identified by the IRO in the Claims Review 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 Genova Providence determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Genova Providence shall repay that amount at the mean point estimate as calculated by the IRO. Genova Providence shall make available to OIG all documentation that reflects the refund of the any Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Claims Review Sample (and any related work papers) received from Genova Providence to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the that payor.

Repayment of Identified Overpayments. Genova Liberty shall repay within 60 days the Overpayment(s) identified by the IRO in the Claims Review 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 Genova Liberty determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Genova Liberty shall repay that amount at the mean point estimate as calculated by the IRO. Genova Liberty 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 Claims Review Sample (and any related work papers) received from Genova Liberty to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the payor.

Repayment of Identified Overpayments. Genova UHealth shall repay within 60 days the any Overpayment(s) identified by the IRO in the Claims Review 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 Genova UHealth determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Genova UHealth shall repay that amount at the mean point estimate as calculated by the IRO. Genova UHealth shall make available to OIG all documentation that reflects the refund of the any Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Claims Review Sample (and any related work papers) received from Genova UHealth to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the that payor.

Repayment of Identified Overpayments. Genova Xxxxxx shall repay within 60 days the Overpayment(s) any Overpayments identified by the IRO in the Quarterly Claims Review 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 Genova Xxxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Genova Xxxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Genova 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 Genova Xxxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the payor.that payor.‌

Repayment of Identified Overpayments. Genova Pentec shall repay within 60 days the Overpayment(s) identified by the IRO in the Claims Review 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 Genova Pentec determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Genova Pentec shall repay that amount at the mean point estimate as calculated by the IRO. Genova Pentec 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 Claims Review Sample (and any related work papers) received from Genova Pentec to the appropriate Medicare or applicable state Medicaid program contractor for appropriate follow up by the payor.