Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, Numotion shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Numotion’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 and the Anti-Kickback Statute and Xxxxx Law risks associated with Arrangements. 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 be conducted at least annually and shall require Numotion 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.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, Numotion TEN shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with NumotionTEN’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 and the Anti-Anti- Kickback Statute and Xxxxx Law risks associated with Arrangements. 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 be conducted at least annually and shall require Numotion TEN 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.plans.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Xxxx Assessment and Internal Review Process. Within 90 120 days after the Effective Date, Numotion Cigna shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with NumotionCigna’s participation in the offering of Federal health care programsHealth Care Program Plans, including but not limited to the risks associated with Risk Adjustment Activities, the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries Advantage risk adjustment data, and the Anti-Kickback Statute and Xxxxx Law 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 Numotion 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.plans.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Xxxx Assessment and Internal Review Process. Within 90 days after the Effective Date, Numotion Provider shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with NumotionProvider’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 and the Anti-Kickback Statute and Xxxxx Law risks associated with Arrangements. 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 be conducted at least annually and shall require Numotion Provider 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.plans.
Appears in 1 contract
Samples: Corporate Integrity Agreement