Examples of IRO in a sentence
Total number and percentage of instances in which the IRO determined that the coding of the Paid Claims submitted by Provider differed from what should have been the correct coding.
Provider shall ensure that the IRO has access to all records and personnel necessary to complete the reviews listed in this Section III.D and that all records furnished to the IRO are accurate and complete.
The IRO must perform the Claims Review in a professionally independent and objective fashion, as defined in the most recent Government Auditing Standards issued by the U.S. Government Accountability Office.
The IRO and Provider shall retain and make available to OIG, upon request, all work papers, supporting documentation, correspondence, and draft reports exchanged between the IRO and Provider related to the reviews described in this Section III.D.
The IRO shall conduct the review in a professionally independent and objective fashion, as set forth in Paragraph E.