Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute Medical’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 2 contracts
Samples: Corporate Integrity Agreement, Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical WBH shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute MedicalWBH’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical WBH shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical Primex shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute MedicalPrimex’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical Primex shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical WCH shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute MedicalWCH’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical WCH shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical the GIS Parties shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute Medical’s the GIS Parties’ participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical The GIS Parties shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical HealthNet shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute MedicalHealthNet’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical HealthNet shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical Mercy shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute MedicalXxxxx’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical Mercy shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 120 days after the Effective Date, Post Acute Medical BMG shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute MedicalBMG’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims and related risk adjustment data for items and services furnished to Medicare and Medicaid program beneficiaries. The Compliance Committee shall be responsible for implementation and oversight of the risk assessment and internal review process. The risk assessment and internal review process shall require compliance, legal and department leaders, be conducted at least annually, to: annually and shall require BMG to:
(1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical BMG shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical Vascular Access Centers shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute Medical’s Vascular Access Centers’ participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal legal, and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical Vascular Access Centers shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical PCMC shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute MedicalPCMC’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical PCMC shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical SDNA shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute MedicalSDNA’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The risk assessment and internal review process shall require compliance, legal and department leaders, at least annually, to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical SDNA shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Post Acute Medical Apria shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Post Acute MedicalApria’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The Compliance Committee shall be responsible for implementation and oversight of the risk assessment and internal review process. The risk assessment and internal review process shall require compliance, legal and department leaders, be conducted at least annually, annually and shall require Apria to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Post Acute Medical Apria shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract