Systems Review Findings. The IRO shall prepare a Systems Review Report based on the Systems Review performed (if applicable) that shall include the IRO’s observations, findings, and recommendations regarding:
Systems Review Findings. The IRO shall prepare a Systems Review Report based on the Systems Review performed (if applicable) that shall include the IRO’s observations, findings, and recommendations regarding the strengths and weaknesses in LHC’s processes for determining and documenting homebound status and for establishing the medical necessity of home health care services.
Systems Review Findings. The Eligibility Review Team shall prepare a Systems Review Report based on the Systems Review performed (if applicable) that shall include the Eligibility Review Team’s observations, findings, and recommendations regarding suggested improvements to the system(s) and the process(es) used to determine eligibility.
Systems Review Findings. The IRO shall prepare a Systems Review Report based on each Systems Review performed (if applicable) that shall include the IRO’s observations, findings, and recommendations regarding the strengths and weaknesses in PharMerica’s systems and processes for complying with Controlled Substances Act and state law requirements in dispensing Schedule II Controlled Substances found at each Selected Pharmacy and possible improvements to PharMerica’s systems and processes to address the specific problems or weaknesses that resulted in the identified Overpayments.
Systems Review Findings. With respect to any Restocking Systems Review, the IRO shall prepare a Report that shall include the IRO’s observations, Corporate Integrity Agreement between the Office of Inspector General and Sorkin’s Rx Ltd. d/b/a CareMed Pharmaceutical Services findings, and recommendations regarding:
