Examples of Internal Review Committee in a sentence
Providers receiving a repeat determination of Partial-Compliance for repeat deficiencies at the level of a Condition in any Service Domain may be referred by the Quality Management Bureau to the Internal Review Committee (IRC) for consideration of remedies and possible actions or sanctions.
To qualify for a QMB “Sub-Standard” rating of approval” and a three to six month QMB review cycle, with a referral to the Internal Review Committee and provider agreement recommendation, the provider may have any of the following findings:• seven (7) or more findings that are a condition of participation• seven (7) or more “F” level findings• any findings of a “G” level or higher• nine (9) or more D or E level findings A referral to the IRC is required for any “Sub-standard” rating.
The Internal Review Committee shall include the written input and/or presence of a licensed physician or approved licensed psychologist in the same or similar specialty that typically manages or consults on the health care service, condition, performs the procedure or provides the treatment and who was not previously involved in the matter under review.
The Internal Review Committee is comprised of three (3) or more individuals, one of which is a licensed physician, who did not previously participate in the decision to deny coverage or payment for the service and shall not be subordinates of the person(s) who made the Adverse Benefit Determination.
Any investment manager considered for hiring into the PMEIM Program will meet with the Internal Review Committee (IRC).
The Claim Administrator and the Member have the right to be represented by an attorney or other individual before the Internal Review Committee.
Providers receiving a repeat determination of Non-Compliance may be referred by QMB to the Internal Review Committee (IRC) for consideration of remedies and possible actions.
Providers receiving a repeat determination of „Non-Compliance‟ may be referred by QMB to the Internal Review Committee (IRC) for consideration of remedies and possible actions.
The Company will continue to involve the Union in discussions relative to new technology at each plant through the Internal Review Committee, Union Management and Plant Leadership Meetings.
Evaluation of Proposals, Selection and Negotiation Proposals will be evaluated by an Internal Review Committee made up of MFA staff using the criteria listed in Part II Minimum Qualifications and Requirements, Part III Services to be Performed, and Part IV Compensation, below, pursuant to the Evaluation Criteria and scoring shown in Part V, Evaluation Criteria.