Focus Arrangements definition
Focus Arrangements means every Arrangement that:
a. is between ▇▇▇▇▇▇▇▇ and any actual source of health care business or referrals to ▇▇▇▇▇▇▇▇ and involves, directly or indirectly, the offer, payment, or provision of anything of value; or
b. is between ▇▇▇▇▇▇▇▇ and any physician (or a physician’s immediate family member) (as defined at 42 C.F.R. § 411.351)) who makes a referral (as defined at 42 U.S.C. § 1395nn(h)(5)) to ▇▇▇▇▇▇▇▇ for designated health services (as defined at 42 U.S.C. §1395nn(h))(6)). Notwithstanding the foregoing provisions of Section II.C.2, any Arrangement that satisfies the requirements of 42 C.F.R. § 411.356 (ownership or investment interests), 42 C.F.R. § 411.357(g) (remuneration unrelated to the provision of designated health services); 42 C.F.R. § 411.357(i) (payments by a physician for items and services); 42
Focus Arrangements means every Arrangement that:
a. is between CHN and any actual source or recipient of health care business or referrals and involves, directly or indirectly, the offer, payment, or provision of anything of value; or
b. is between CHN and any physician (or a physician’s immediate family member) (as defined at 42 C.F.R. § 411.351)) who makes a referral (as defined at 42 U.S.C. § 1395nn(h)(5)) to CHN for designated health services (as defined at 42 U.S.C. §1395nn(h))(6)). Any Arrangement that satisfies the requirements of 42 C.F.R. § 411.356 (ownership or investment interests), 42 C.F.R. § 411.357(g) (remuneration unrelated to the provision of designated health services); 42 C.F.R. § 411.357(i) (payments by a physician for items and services); 42 C.F.R. § 411.357(k) (non-monetary compensation); 42 C.F.R. § 411.357(m) (medical staff incidental benefits), 42 C.F.R. § 411.357(o) (compliance training), 42 C.F.R. § 411.357(q) (referral services), 42 C.F.R. § 411.357(s) (professional courtesy), or 42 C.F.R. § 357(u) (community-wide health information systems), shall not be considered a Focus Arrangement for purposes of this CIA, provided that CHN maintains sufficient documentation to demonstrate compliance with the applicable exceptions to 42 U.S.C. § 1395nn (▇▇▇▇▇ Law). Such documentation shall be made available to OIG upon request.
Focus Arrangements means every Arrangement involving CHSI’s LMC that:
a. is between LMC and any actual source of health care business or referrals to LMC and involves, directly or indirectly, the offer, payment, or provision of anything of value; or
b. is between LMC and any physician (or a physician’s immediate family member) (as defined at 42 C.F.R. § 411.351)) who makes a referral (as defined at 42 U.S.C. § 1395nn(h)(5)) to LMC for designated health services (as defined at 42 U.S.C. §1395nn(h))(6)). Notwithstanding the foregoing provisions of Section II.C.7, any Arrangement that satisfies the requirements of 42 C.F.R. § 411.356 (ownership or investment interests), 42 C.F.R. § 411.357(g) (remuneration unrelated to the provision of designated health services); 42 C.F.R. § 411.357(i) (payments by a physician for items and services); 42 C.F.R. § 411.357(k) (non-monetary compensation); 42 C.F.R. § 411.357(m) (medical staff incidental benefits), 42 C.F.R. § 411.357(o) (compliance training), 42 C.F.R. § 411.357(q) (referral services), 42 C.F.R. § 411.357(s) (professional courtesy), 42 C.F.R. § 357(u) (community-wide health information systems), any exception to the prohibitions of 42 U.S.C. § 1395nn enacted following the Effective Date that does not require a written agreement or that does not constitute a “financial relationship” as defined by 42 C.F.R. § 411.354 shall not be considered a Focus Arrangement for purposes of this CIA.
Examples of Focus Arrangements in a sentence
A description of the process used by the IRO to identify the Focus Arrangements subject to review in the Arrangements Transactions Review.
The Compliance Officer shall provide an explanation for: (1) any Focus Arrangements found to have been missing from the Focus Arrangements Tracking System; and (2) any entries in the Focus Arrangements Tracking System found to have been incomplete or inaccurate.
The Legal IRO shall select its sample of Focus Arrangements for review in consultation with OIG.
In addition, the Legal IRO shall identify in the Arrangements Transactions Review Report any Focus Arrangement(s) reviewed that a reasonable person would consider a probable violation of the Anti-Kickback Statute or ▇▇▇▇▇ Law, along with the Legal IRO’s basis for reaching that conclusion.
If the IRO accepts any supplemental documentation or materials from CHSI after the IRO has completed its initial review of the Focus Arrangements (Supplemental Materials), the IRO shall identify in the Arrangements Transaction Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review.
More Definitions of Focus Arrangements
Focus Arrangements means every Arrangement that:
a. is between Progenity and any actual source or recipient of health care business or referrals and involves, directly or indirectly, the offer, payment, or provision of anything of value; or
b. is between Progenity and any physician (or a physician’s immediate family member (as defined at 42 C.F.R. § 411.351)) who makes a referral (as defined at 42 U.S.C. § 1395nn(h)(5)) to Progenity for designated health services (as defined at 42 U.S.C. §1395nn(h)(6)). Notwithstanding the foregoing provisions of Section II.C.4, any Arrangement that satisfies the requirements of 42 C.F.R. § 411.356 (ownership or investment interests), 42 C.F.R. § 411.357(g) (remuneration unrelated to the provision of designated health services); 42 C.F.R. § 411.357(i) (payments by a physician for items and services); 42 C.F.R. § 411.357(k) (non-monetary compensation); 42 C.F.R. § 411.357(m) (medical staff incidental benefits), 42 C.F.R. § 411.357(o) (compliance training), 42 C.F.R. § 411.357(q) (referral services), 42 C.F.R. § 411.357(s) (professional courtesy), or 42 C.F.R. § 357(u) (community-wide health information systems), shall not be considered a Focus Arrangement for purposes of this CIA, provided that Progenity maintains sufficient documentation to demonstrate compliance with the applicable exceptions to 42 U.S.C. § 1395nn (▇▇▇▇▇ Law). Such documentation shall be made available to OIG upon request.
Focus Arrangements means every Arrangement that: is between Envision and a hospital that has an agreement with Envision to provide services payable by Federal health care programs. 3.“Covered Persons” includes:
Focus Arrangements means every Arrangement that:
a. is between KDMC and any actual source of health care business or referrals to KDMC and involves, directly or indirectly, the offer, payment, or provision of anything of value; or
b. is between KDMC and any physician (or a physician’s immediate family member) (as defined at 42 C.F.R. § 411.351)) who makes a referral (as defined at 42 U.S.C. § 1395nn(h)(5)) to KDMC for designated health services (as defined at 42 U.S.C. §1395nn(h))(6));
c. is between KDMC and any physician (or a physician’s immediate family member) or medical practice that involves, directly or indirectly, the offer, payment, or provision of anything of value in anticipation of that physician becoming an actual source of health care business or referrals (e.g., for purposes of recruitment). Notwithstanding the foregoing provisions of Section II.C.3, any Arrangement that satisfies the requirements of 42 C.F.R. § 411.356 (ownership or investment interests), 42 C.F.R. § 411.357(g) (remuneration unrelated to the provision of designated health services); 42 C.F.R. § 411.357(i) (payments by a physician for items and services); 42
Focus Arrangements means every Arrangement that:
a. is between Halifax and any actual source of health care business or referrals to Halifax and involves, directly or indirectly, the offer, payment, or provision of anything of value;
b. is between Halifax and any physician (or a physician’s immediate family member) (as defined at 42 C.F.R. § 411.351) who makes a referral (as defined at 42 U.S.C. § 1395nn(h)(5)) to Halifax for designated health services (as defined at 42 U.S.C. § 1395nn(h)(6)); or
c. is between Halifax and any physician (or a physician’s immediate family member) or medical practice that involves, directly or indirectly, the offer, payment, or provision of anything of value in anticipation of that physician becoming an actual source of health care business or referrals (e.g., for purposes of recruitment). Notwithstanding the foregoing provisions of Section II.C.2, any Arrangement that satisfies the requirements of 42 C.F.R. § 411.356 (ownership or investment interests), 42 C.F.R. § 411.357(g) (remuneration unrelated to the provision of designated health services); 42 C.F.R. § 411.357(i) (payments by a physician for items and services); 42
Focus Arrangements means every Arrangement that:
Focus Arrangements means every Arrangement that:
a. is between Post Acute Medical and any actual source or recipient of health care business or referrals to Post Acute Medical and involves, directly or indirectly, the offer, payment, or provision of anything of value; or
b. is between Post Acute Medical and any physician (or a physician’s immediate family member) (as defined at 42
Focus Arrangements means every Arrangement that is between Respironics and any actual source or recipient of health care business or referrals and involves, directly or indirectly, the offer, payment, or provision of anything of value.