Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, Prime shall develop and implement a centralized annual risk assessment and internal review process to identify and address potential risks associated with Prime’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 potential risks, (2) develop internal audit work plans related to the identified potential risk areas, (3) implement the internal audit work plans, (4) as appropriate, develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of any corrective action plans in order to assess the effectiveness of such plans. Prime shall maintain the risk assessment and internal review process for the term of the CIA.
Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, Xxxxxxxxxx-Xxxxxxx Xxxxxx shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Xxxxxxxxxx-Xxxxxxx Xxxxxx’x 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. Xxxxxxxxxx- Xxxxxxx Xxxxxx shall maintain the risk assessment and internal review process for the term of the CIA.
Xxxx Assessment and Internal Review Process. Within 120 days after the Effective Date, Cigna shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Cigna’s offering of Federal Health Care Program Plans, including but not limited to the risks associated with Risk Adjustment Activities, the submission of Medicare Advantage risk adjustment data, and the Anti-Kickback Statute risks associated with Arrangements. The Medicare 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 be conducted at least annually and shall require Cigna to: (1) identify and prioritize risks, (2) develop work plans or audit plans (as appropriate) related to the identified risk areas, (3) implement the work plans and audit plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the work plans and any corrective action plans and assess the effectiveness of such plans.
Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, Good Shepherd shall develop and implement a centralized annual risk assessment and internal review process to identify and address 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 should include: (1) a process for identifying and prioritizing risks, (2) developing remediation plans in response to those risks, including internal auditing and monitoring of the identified risk areas, and (3) tracking results to assess the effectiveness of the remediation plans. The risk assessment and internal review process should require compliance, legal and department leaders, at least annually, to evaluate and identify risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries and develop and implement specific plans to address and mitigate the identified risks. The risk assessment and internal review work plans shall be developed annually. Good Shepherd shall implement the risk assessment and internal review work plans and track the implementation of the work plans. Good Shepherd shall maintain the risk assessment and internal review process for the term of the CIA. Copies of any internal audit reports developed pursuant to the risk assessment and internal review process shall be made available to OIG upon request.
Xxxx Assessment and Internal Review Process. Within 120 days after the Effective Date, Banner shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Banner’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. Banner shall maintain the risk assessment and internal review process for the term of the CIA.
Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, the U.S. Healthcare Supply DMEPOS Companies shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with the U.S. Healthcare Supply DMEPOS Companies’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. The U.S. Healthcare Supply DMEPOS Companies shall maintain the risk assessment and internal review process for the term of the CIA.
Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, Genova shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Genova’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for Government Reimbursed Items and Services as well as the sales and marketing of Government Reimbursed Items and Services. The Compliance Committee and the Chief Clinical Officer shall be responsible for implementation and oversight of the risk assessment and internal review process. The risk assessment and internal review process shall be conducted at least annually and shall require Genova to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas,
Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, Rehab shall develop and implement a centralized annual risk assessment and internal review process to identify and address 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 should include: (1) a process for identifying and prioritizing risks, (2) developing remediation plans in response to those risks, including internal auditing and monitoring of the identified risk areas, and (3) tracking results to assess the effectiveness of the remediation plans. The risk assessment and internal review process should require compliance, legal and department leaders, at least annually, to evaluate and identify risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries and develop and implement specific plans to address and mitigate the identified risks. The risk assessment and internal review work plans shall be developed annually. Rehab shall implement the risk assessment and internal review work plans and track the implementation of the work plans. Rehab shall maintain the risk assessment and internal review process for the term of the CIA. Copies of any internal audit reports developed pursuant to the risk assessment and internal review process shall be made available to OIG upon request.
Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, Arc shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arc’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 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. Arc shall maintain the risk assessment and internal review process for the term of the CIA.
Xxxx Assessment and Internal Review Process. Dignity Health maintains a system-wide annual risk assessment and internal review process to identify and address risks associated with the submission of claims for items and services furnished to Federal health care program beneficiaries. The risk assessment and internal review process shall include: (1) a process for identifying and prioritizing potential risks; (2) developing an annual work plan to evaluate potential risks, including internal auditing and monitoring of the potential risk areas; (3) developing action plans to remediate risk; and (4) tracking results to assess the effectiveness of the risk assessment and internal review process, including any remediation efforts that are pursued. The risk assessment and internal review process shall require compliance, legal, and appropriate department leaders, at least annually, to identify potential risks associated with the submission of claims for items and services furnished to Federal health care Corporate Integrity Agreement Dignity Health program beneficiaries and develop and implement specific plans to address and mitigate the identified risks. As part of the risk assessment and internal review process, compliance, legal, and, if appropriate, certain department leaders shall evaluate the potential risk areas. The risk assessment and internal review work plans shall be developed annually. Dignity Health shall implement the risk assessment and internal review work plans and track the implementation of the work plans. Dignity Health shall maintain the risk assessment and internal review process for the term of the CIA. Copies of any internal audit reports developed pursuant to the risk assessment and internal review process shall be made available to OIG upon request.
