Common use of Reporting and Disclosure; Submission of Encounter and Other Data Clause in Contracts

Reporting and Disclosure; Submission of Encounter and Other Data. a. As applicable, Provider shall submit (and require Practice Providers and Suppliers to submit) encounter data with respect to Provider’s and Practice Provider’s participation under this Agreement, medical records, and such other information and data as DCE may reasonably request, including, without limitation and as applicable, as may be required in connection with DCE’s reporting and other obligations under the CMS Agreement, including, but not limited to (a) actual or suspected fraud, waste and abuse or non-compliance with Applicable Requirements by Provider, Practice Provider, a Supplier or others; or (b) responses to CMS requests for information and/or surveys. Such information shall be submitted by Provider and its Practice Providers and Suppliers in compliance with Applicable Requirements.

Appears in 3 contracts

Samples: Direct Contracting Entity Participant Provider Agreement, Direct Contracting Entity Participant Provider Agreement, Direct Contracting Entity Participant Provider Agreement

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Reporting and Disclosure; Submission of Encounter and Other Data. a. As applicable, Provider shall submit (and require Practice Providers and Suppliers to submit) encounter data with respect to Provider’s and Practice Provider’s participation under this Agreement, medical records, and such other information and data as DCE ACO may reasonably request, including, without limitation and as applicable, as may be required in connection with DCEACO’s reporting and other obligations under the CMS MSSP Agreement, including, but not limited to (a) actual or suspected fraud, waste and abuse or non-compliance with Applicable Requirements by Provider, Practice Provider, a Supplier or others; or (b) responses to CMS requests for information and/or surveys. Such information shall be submitted by Provider and its Practice Providers and Suppliers in compliance with Applicable Requirements.

Appears in 1 contract

Samples: Aco Participant Agreement

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