Common use of Xxxx Assessment and Internal Review Process Clause in Contracts

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 120 90 days after the Effective Date, Cigna Numotion shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with CignaNumotion’s offering of participation in the Federal Health Care Program Planshealth care programs, including but not limited to the risks associated with Risk Adjustment Activities, the submission of claims for items and services furnished to Medicare Advantage risk adjustment data, and Medicaid program beneficiaries 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 Cigna 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.plans.‌

Xxxx Assessment and Internal Review Process. Within 120 90 days after the Effective Date, Cigna TEN shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with CignaTEN’s offering of participation in the Federal Health Care Program Planshealth care programs, including but not limited to the risks associated with Risk Adjustment Activities, the submission of claims for items and services furnished to Medicare Advantage risk adjustment data, and Medicaid program beneficiaries and the Anti-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 Cigna 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.

Xxxx Assessment and Internal Review Process. Within 120 90 days after the Effective Date, Cigna Provider shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with CignaProvider’s offering of participation in the Federal Health Care Program Planshealth care programs, including but not limited to the risks associated with Risk Adjustment Activities, the submission of claims for items and services furnished to Medicare Advantage risk adjustment data, and Medicaid program beneficiaries 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 Cigna 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.‌‌