Medicare contractor definition
Examples of Medicare contractor in a sentence
A description of the specific documentation relied upon by the IRO when performing the Quarterly Claims Review (e.g., medical records, physician orders, certificates of medical necessity, requisition forms, local medical review policies (including title and policy number), CMS program memoranda (including title and issuance number), Medicare contractor manual or bulletins (including issue and date), other policies, regulations, or directives).
The CMS 2552 cost report is audited and settled by the Medicare contractor to determine final allowable costs and reimbursement amounts as recognized by Medicare.
If, at any time, Good Shepherd identifies any Overpayment, Good Shepherd shall repay the Overpayment to the appropriate payor (e.g., Medicare contractor) within 60 days after identification of the Overpayment and take remedial steps within 90 days after identification (or such additional time as may be agreed to by the payor) to correct the problem, including preventing the underlying problem and the Overpayment from recurring.
OIG, in its sole discretion, may refer the findings of the Full Sample (and any related workpapers) received from Good Shepherd to the appropriate Federal health care program payor (e.g., Medicare contractor), for appropriate follow-up by that payor.
If, at any time, CHSI identifies or learns of any Overpayment, CHSI shall repay the Overpayment to the appropriate payor (e.g., Medicare contractor) within 60 days after identification of the Overpayment and take remedial steps within 90 days after identification (or such additional time as may be agreed to by the payor) to correct the problem, including preventing the underlying problem and the Overpayment from recurring.
The cost report is filed with the Medicare contractor five months after the close of the cost reporting period.
The cost report is audited and settled by the Medicare contractor to determine final allowable costs and reimbursement amounts as recognized by Medicare.
OIG, in its sole discretion, may refer the findings of the Full Sample (and any related workpapers) received from Dignity Health to the appropriate Federal health care program payor (e.g., Medicare contractor), for appropriate follow-up by that payor.
The CMS 2552 cost report is filed with the Medicare contractor five months after the close of the cost reporting period.
If, at any time, Practitioner identifies any Overpayment, Practitioner shall repay the Overpayment to the appropriate payor (e.g., Medicare contractor) in accordance with 42 U.S.C. § 1320a-7k(d) and any applicable regulations and guidance from the Centers for Medicare and Medicaid Services (CMS).