Internal Review Committee definition

Internal Review Committee. (“IRC”) means a committee that may be established by the
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Internal Review Committee means the committee appointed by the Authority pursuant to section 29;
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Internal Review Committee means the Committee appointed by the
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Examples of Internal Review Committee in a sentence

  • If your POC is denied a second time your agency may be referred to the Internal Review Committee.

  • Failure to submit your POC within 10 business days without prior approval of an extension by QMB will result in a referral to the Internal Review Committee and the possible implementation of monetary penalties and/or sanctions.

  • Providers receiving a repeat determination of ‘Partial-Compliance’ for repeat deficiencies of CoPs may be referred by the Quality Management Bureau to the Internal Review Committee (IRC) for consideration of remedies and possible actions.

  • Providers receiving a repeat determination of ‘Non-Compliance’ will be referred by Quality Management Bureau to the Internal Review Committee (IRC) for consideration of remedies and possible actions.Attachment C Introduction: Guidelines for the ProviderInformal Reconsideration of Finding (IRF) ProcessThroughout the QMB Survey process, surveyors are openly communicating with providers.

  • 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.

  • If your POC is “Denied” a second time your agency may be referred to the Internal Review Committee.

  • Failure to submit your POC within 10 days without prior approval of an extension by QMB will result in a referral to the Internal Review Committee and the possible implementation of monetary penalties and/or sanctions.

  • 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.

  • The Claim Administrator and the Member have the right to be represented by an attorney or other individual before the Internal Review Committee.


More Definitions of Internal Review Committee

Internal Review Committee. (IRC) means the entity established by a health insurance carrier, health maintenance organization, other managed care entity for a health care plan, or utilization review organization to review requests for reconsiderations in compliance with the requirements defined in this section and the standards set forth by the commissioner.
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Internal Review Committee means the Committee appointed by the Authority pursuant to section 27 of the Act;
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Internal Review Committee means the committee appointed by NSFAS to review the supporting documents provided by PAPs for accreditation, and supporting documents provided by students applying for student accommodation;
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Internal Review Committee means the committee responsible under part 9525.2750, subpart 2, for the review and approval of individual program plans proposing the use of
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Related to Internal Review Committee

  • Review Committee or “Committee” means a committee established pursuant to rule Chapter 67-60, F.A.C.

  • Peer review committee means one or more persons acting in a peer review capacity who also serve as an officer, director, trustee, agent, or member of any of the following:

  • Evaluation Committee means a body appointed to perform the evaluation of Offerors’ proposals.

  • Transition Committee shall have the meaning set forth in Section 2.14.

  • Ethics Committee means an independent body established in a Member State in accordance with the law of that Member State and empowered to give opinions for the purposes of this Regulation, taking into account the views of laypersons, in particular patients or patients' organisations;

  • Technical Committee means the body established in accordance with article VII;

  • Appeal Committee means the appeal committee established by the Council in terms of section 12(3)(a);

  • Supervisory Committee means an oversight committee elected at a general meeting;

  • Procurement Committee means a Committee constituted by the Employer to perform the functions as such under the terms and conditions of Contract.

  • District Evaluation Advisory Committee means a group created to oversee and guide the planning and implementation of the Board of Education's evaluation policies and procedures as set forth in N.J.A.C. 6A:10-2.3.

  • Investigation Committee means the Investigation Committee appointed by the Board under Regulation 5 of these Regulations;

  • Coordination Committee means the jointly constituted PJM and NYISO committee established to administer the terms and provisions of this Agreement pursuant to Section 35.3.2.

  • Advisory Committee means the Employer's Advisory Committee as from time to time constituted.

  • Nomination Committee means the nomination committee of the Board established in accordance with Article 114;

  • Grievance Committee means the Grievance Committee of the Bar.

  • Evaluation Team means the team appointed by the City; “Information Meeting” has the meaning set out in section 2.2;

  • Selection Committee means a committee of individual(s) who evaluate and rank proposals; conduct negotiations; and makes a contract award recommendation to the District and its respective Committees.

  • Oversight Committee means the committee established to monitor the overall implementation of the Canada-Ontario-AMO-Toronto Agreement.

  • Investigating Committee means any Officer/Committee appointed by Competent Authority to conduct investigation.

  • Monitoring Committee means the committee established under clause 10 of this Award.