Agency Audits definition

Agency Audits means any audits and all other state or federal audits, recoupments and overpayment, false claim, fine or penalty actions, in each case including any threatened or preliminary reports, audits, recoupments and overpayment, false claim, fine or penalty actions, (i) covering any of the following, or any matter similar to any of the following: Medicare/Medicaid dual HMO enrollment, newborn eligibility payments, downward substitution of (nursing home) care, death audits (payments for deceased members), recipients enrolled in counties with no certificates of authority, recipients ineligible for HMO coverage, coordination of benefits, patient responsibility, deductible, dual payments to another provider, and non-compliance with the Medicaid or Medicare HMO/managed care contract or applicable Laws, including but not limited to non-compliance with quality assurance requirements, reporting requirements, emergency room and other claim payment requirements, marketing practices requirements, employee compensation requirements, member grievance requirements or similar matters, or (ii) conducted or threatened to be conducted by the CMS, the NY DOI, the CT DOI, the NY DOH or the CT DSS.
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Agency Audits means any audits and all other state, state or federal audits, recoupments and overpayments, false claims, fine or penalty actions, in each case including any threatened or preliminary reports, audits, recoupments and overpayments, false claims, fine or penalty actions (i) covering any of the following: HMO enrollment, newborn eligibility payments, downward substitution of (lower) acuity care providers, death audits (payments for deceased Members), recipients enrolled in counties with no certificates of authority, recipients ineligible for HMO coverage, coordination of benefits, patient responsibility, deductibles, dual payments to another provider, and non-compliance with the Medicare HMO/managed care contract or applicable Laws, including but not limited to non-compliance with quality assurance requirements, reporting requirements, emergency room and other claim payment requirements, marketing practices requirements, employee compensation requirements, member grievance requirements or similar matters, or (ii) conducted or threatened to be conducted by the CMS.
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Agency Audits means any audits and all other state or federal audits, recoupments and overpayment, false claim, fine or penalty actions, in each case including any threatened or preliminary reports, audits, recoupments and overpayment, false claim, fine or penalty actions, (i) covering any of the following, or any matter similar to any of the following: Medicare/Medicaid dual HMO enrollment, newborn eligibility payments, downward substitution of (nursing home) care, death audits (payments for deceased members), recipients enrolled in counties with no certificates of authority, recipients ineligible for HMO coverage, coordination of benefits, patient responsibility, deductible, dual payments to another provider, and non-compliance with the Medicaid or Medicare HMO/managed care contract or applicable Laws, including but not limited to non-compliance with quality assurance requirements, reporting requirements, emergency room and other claim payment requirements, marketing practices requirements, employee compensation requirements, member grievance requirements or similar matters, or (ii) conducted or threatened to be conducted by the CMS, the DOI or AHCA.
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Examples of Agency Audits in a sentence

  • Seller shall at all times maintain copies of relevant portions of all Agency Audits in which there are material adverse findings, including without limitation notices of defaults, notices of termination of approved status, notices of imposition of supervisory agreements or interim servicing agreements, and notices of probation, suspension, or non-renewal.

  • Single Agency Audits shall comply with the procedures specified by MFA.

  • Schedule 2.28 sets forth a true, accurate and complete list of all reports and correspondence regarding all Agency Audits, and all other audit reports prepared by the CMS, the NY DOI, the CT DOI, the NY DOH, the CT DSS or any other Governmental or Regulatory Authority relating to the operations or business of the Company or either Company Subsidiary, from each year (or part thereof) since January 1, 2000.

  • Government Agency Audits Government agencies often require CoreCivic to apply their preferred set of operational standards.

  • Guarantor shall (i) at all times maintain copies of relevant portions of all final written Agency Audits in which there are material adverse findings, including without limitation notices of defaults, notices of termination of approved status, notices of imposition of supervisory agreements or interim servicing agreements, and notices of probation, suspension, or non-renewal, and all necessary approvals from each Agency and (ii) take all actions necessary to maintain its respective Approvals.

  • Defense Contract Audit Agency Audits of NASA Contractors The Defense Contract Audit Agency (DCAA) provides audit services to NASA on a reimbursable basis.

  • Defense Contract Audit Agency Audits of NASA ContractorsThe Defense Contract Audit Agency (DCAA) provides audit services to NASA on a reimbursable basis.

  • Single Agency Audits: In 2011-12 the LSCB aimed to get a better picture of what safeguarding related audits were being undertaken under the auspices of individual agencies, as opposed to multi-agency audits.

  • Internal Agency Audits Agency or university policy should require their internal Property Officer annually perform a physical inventory within each department.

  • Single Agency Audits: Primary care audit to reconcile recording of GP for children on Child Protection Plans, Neglect Audit, Section 175/157 Audit, GP Practice Safeguarding Self-Assessment; Children’s Community Health; Social Care and Safeguarding supervision & training, CCG Health of Children Looked After.

Related to Agency Audits

  • Agency(ies) means any government regulatory authority or authorities in the world responsible for granting approval(s), clearance(s), qualification(s), license(s), or permit(s) for any aspect of the research, Development, manufacture, marketing, distribution, or sale of a Product. The term “Agency” includes, without limitation, the United States Food and Drug Administration (“FDA”).

  • non-audit services means services other than audit services.

  • Energy audit means a systematic procedure with the purpose of obtaining adequate knowledge of the existing energy consumption profile of a building or group of buildings, an industrial or commercial operation or installation or a private or public service, identifying and quantifying cost-effective energy savings opportunities, and reporting the findings;

  • Statutory Auditor means the auditor of a Company appointed under the provisions of the Companies Act, 1956 or under the provisions of any other applicable governing law;

  • Comptroller and Auditor General means the Comptroller and Auditor General of India;

  • County review agency means an agency designated by the County Board of Chosen Freeholders to review municipal stormwater management plans and implementing ordinance(s). The county review agency may either be:

  • Agencies means the Department, the Agency for International Develop- ment (AID), the International Commu- nication Agency (USICA), the Foreign Agricultural Service (FAS), and the Foreign Commercial Service (FCS).

  • Statutory Auditors means a firm of chartered accountants appointed in terms of Section 224 of the Companies Act, 1956 and acting as the statutory auditors of the Concessionaire.

  • Agency Fees On each order accepted by us for a Fund with a sales charge, we understand that you will charge your customer an agency commission or agency transaction fee ("agency fee") as set forth in the schedule of sales concessions and agency fees set forth in that Fund's Prospectus, as it may be amended from time to time. This fee shall be subject to the provisions of all terms set forth in the Prospectus for volume purchases and special plans and accounts (e.g. retirement plans, letter of intent, etc.). You will not receive from us a dealer's concession or similar allowance out of the sales charge. The agency fee will not exceed the maximum limits on sales charges specified in Rule 2830 of the Conduct Rules of the National Association of Securities Dealers, Inc. (the "NASD") regardless of whether you are a member of the NASD or not. You will not accept or withhold any fee otherwise allowed under the terms of this Agreement, for any shares purchased under this Agreement, if prohibited by the Employee Retirement Income Security Act or trust or similar laws to which you are subject, in the case of purchases or redemptions of Fund shares involving retirement plans, trusts or similar accounts. You may elect to make payments for Fund shares in either of two ways: (a) you may send us the public offering price for the Fund shares purchased less the amount of the agency fee due you, or (b) you or your customer may send us the entire public offering price for the Fund shares and we will, on a periodic basis, remit to you the agency fee due. You will specify in writing the method of payment you elect (See NOTICES AND COMMUNICATIONS Section below). If any shares sold to your customer under the terms of this Agreement are repurchased by the Fund or by us, or are tendered to a Fund for redemption or repurchase, within seven (7) business days after the date of the confirmation of the original purchase order, you will promptly refund to us the full agency fee paid or allowed to you on such shares. This Section shall not apply to the extent that you or your customer is qualified to buy, and is buying, shares at net asset value.

  • County Auditor means the Greenville County Auditor, or the person holding any successor office of the County.

  • Agency action Not later than 30 days after receiving an inspector general report of an alleged reprisal, the head of the agency shall determine whether there is sufficient basis to conclude that the non-Federal employer has subjected the employee to a prohibited reprisal. The agency shall either issue an order denying relief in whole or in part or shall take one or more of the following actions: - Order the employer to take affirmative action to xxxxx the reprisal. - Order the employer to reinstate the person to the position that the person held before the reprisal, together with compensation including back pay, compensatory damages, employment benefits, and other terms and conditions of employment that would apply to the person in that position if the reprisal had not been taken. - Order the employer to pay the employee an amount equal to the aggregate amount of all costs and expenses (including attorneys' fees and expert witnesses' fees) that were reasonably incurred by the employee for or in connection with, bringing the complaint regarding the reprisal, as determined by the head of a court of competent jurisdiction.

  • Area agency on aging means the same as that term is defined in Section 62A-3-101.

  • Agency Fee means the fee payable by the Partner to Bolt per every event of sale of the Partner’s Goods through the Bolt Food Platform for the provision of agency services to the Partner. Agreed Percentage is the percentage agreed in the Special Terms that serves as the basis for the calculation of the Agency Fee.

  • Agency Period means the period commencing on the date of this Agreement and expiring on the earliest to occur of (x) the date on which the Agent shall have placed the Maximum Program Amount pursuant to this Agreement and (y) the date this Agreement is terminated pursuant to Section 7.

  • Agency and/or State Agency means the statutory unit of state government in the State of Missouri for which the equipment, supplies, and/or services are being purchased by the Division of Purchasing (Purchasing). The agency is also responsible for payment.

  • Regulatory Floodway means the channel of a river or other watercourse and the adjacent land areas that must be reserved in order to discharge the base flood without cumulatively increasing the water surface elevation more than a designated height.

  • County Counsel means County’s Office of the County Counsel.

  • Company’s Auditors means an independent firm of accountants duly appointed as auditors of the Company;

  • Agency Worker means the individual who is Introduced by the Employment Business to provide services to the Hirer;

  • Inspecting Agency means the agencies nominated and authorized by the competent authority for inspecting the material at the works of the supplier or at the designated place of inspection prescribed by the purchasing authority.

  • Independent Auditors has the meaning set forth in Section 3.2.

  • Financial Monitoring Report or “FMR” means each report prepared in accordance with Section 4.02 of this Agreement;

  • Department Chair means the chair of a department or the director of a program.

  • Rating Agency Inquiry As defined in Section 4.5(d).

  • Rating Agency Information means any information provided for the purpose of (a) determining the initial credit rating for the Offered Notes, including information about the characteristics of the Receivables and the legal structure of the Offered Notes, and (b) undertaking credit rating surveillance on the Offered Notes, including information about the characteristics and performance of the Receivables.

  • Independent Auditor has the meaning specified in Section 6.01(a).