Common use of Review of Records Clause in Contracts

Review of Records. 1. Upon reasonable notice and during regular business hours, Payor or its designee shall have the right to inspect, review and make copies at Payor’s expense of all medical and billing records maintained by Practitioner with respect to all payments received by Practitioner from all sources for Covered Services rendered by Practitioner to Beneficiaries during the term of this Agreement. Payor or its designee shall have the right to conduct periodic audits of such records and may audit its own records to determine if amounts have been properly paid under this Agreement, provided that advance notice of any audit is provided to Practitioner and the audit is conducted during normal business hours of the Practitioner. Payor or its designee shall conduct any audits within 12 months of the original date of payment. Payor or its designee shall provide Practitioner with the results of any such audits and any amounts determined to be due and owing as a result of such audits shall be promptly paid or, at the option of the party to whom such amounts are owed, offset against amounts due and owing by such party hereunder. The audits conducted by Payor or its designee pursuant to this paragraph may include the use of statistical sampling techniques. This provision shall survive the termination of this Agreement or any Program Attachment.