Common use of Repayment of Identified Overpayments Clause in Contracts

Repayment of Identified Overpayments. CHSI 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 or Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If CHSI determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, CHSI shall repay that amount at the mean point estimate as calculated by the IRO. CHSI 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 CHSI to the appropriate Medicare program contractor for appropriate follow up by the payor.

Repayment of Identified Overpayments. CHSI CRC 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 or and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If CHSI CRC determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, CHSI CRC shall repay that amount at the mean point estimate as calculated by the IRO. CHSI CRC 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 CHSI CRC to the appropriate Medicare state Medicaid program contractor for appropriate follow up by the payor.

Repayment of Identified Overpayments. CHSI SERA 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 or and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If CHSI SERA determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, CHSI SERA shall repay that amount at the mean point estimate as calculated by the IRO. CHSI SERA 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 CHSI SERA to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the payor.

Repayment of Identified Overpayments. CHSI SNAP 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 or and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If CHSI SNAP determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, CHSI SNAP shall repay that amount at the mean point estimate as calculated by the IRO. CHSI SNAP 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 CHSI SNAP to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the payor.

Repayment of Identified Overpayments. CHSI TPRC 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 or Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If CHSI TPRC determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, CHSI TPRC shall repay that amount at the mean point estimate as calculated by the IRO. CHSI TPRC 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 CHSI TPRC to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the payor.