OIG Removal of IRO. In the event OIG has reason to believe that the IRO does not possess the qualifications described in Paragraph B, is not independent and/or objective as set forth in Paragraph D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require GSK to engage a new IRO in accordance with Paragraph A of this Appendix. GSK must engage a new IRO within 60 days of termination of the IRO. Prior to requiring GSK to engage a new IRO, OIG shall notify GSK of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, GSK may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with GSK prior to requiring GSK to terminate the IRO. However, the final determination as to whether or not to require GSK to engage a new IRO shall be made at the sole discretion of OIG. I. Covered Functions Review, General Description As specified more fully below, GlaxoSmithKline (GSK) shall retain an Independent Review Organization (IRO) (or IROs) to perform reviews (IRO Reviews) to assist GSK in assessing and evaluating its systems, processes, policies, procedures, and practices related to certain of GSK's Covered Functions (collectively, “IRO Covered Functions”). The IRO Review shall consist of two components - a systems review (Systems Review) and a transactions review (Transactions Review) as described more fully below. GSK may engage, at its discretion, a single IRO to perform both components of the IRO Review provided that the entity has the necessary expertise and capabilities to perform both. If there are no material changes in GSK’s systems, processes, policies, and procedures relating to the Covered IRO Functions, the IRO shall perform the Systems Review for the second and fifth IRO Reporting Periods. If GSK materially changes its systems, processes, policies, and procedures relating to the Covered IRO Functions, the IRO shall perform a Systems Review for the IRO Reporting Period(s) in which such changes were made in addition to conducting the Review for the second and fifth IRO Reporting Periods. The additional Systems Review(s) shall consist of: 1) an identification of the material changes; 2) an assessment of whether other systems, processes, policies, and procedures previously reported did not materially c...
OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph D, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Xxxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Xxxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Xxxxxx regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Xxxxxx in writing that Xxxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Xxxxxx must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG. APPENDIX B CLAIMS REVIEW
OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Practitioner in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Practitioner shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Practitioner regarding its IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Practitioner in writing that Practitioner shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Practitioner must engage a new IRO within 60 days of receipt of OIG’s written notice. The final determination as to whether or not to require Practitioner to engage a new IRO shall be made at the sole discretion of OIG.
OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Edgewater in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Edgewater shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Edgewater regarding the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Edgewater in writing that Edgewater shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Edgewater must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Edgewater to engage a new IRO shall be made at the sole discretion of OIG.
OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require Xxxxx to engage a new IRO in accordance with Paragraph A of this Appendix. Xxxxx must engage a new IRO within 60 days of termination of the IRO. Prior to requiring Xxxxx to engage a new IRO, OIG shall notify Xxxxx of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, Xxxxx may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with Xxxxx prior to requiring Xxxxx to terminate the IRO. However, the final determination as to whether or not to require Xxxxx to engage a new IRO shall be made at the sole discretion of OIG.
OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph E, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Genova in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Genova shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Genova regarding the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Genova in writing that Genova shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Genova must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Genova to engage a new IRO shall be made at the sole discretion of OIG.
OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph D, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Arc in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Arc shall have 30 days from the
OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require Mid Xxxxxx to engage a new IRO in accordance with Paragraph A of this Appendix. Xxx Xxxxxx must engage a new IRO within 60 days of termination of the IRO. Prior to requiring Mid Xxxxxx to engage a new IRO, OIG shall notify Mid Xxxxxx of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, Xxx Xxxxxx may present additional information regarding the IRO’s qualifications, independence, or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with Mid Xxxxxx prior to requiring Mid Xxxxxx to terminate the IRO. However, the final determination as to whether or not to require Mid Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG.
OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph D, or has failed to carry out its responsibilities as described in Paragraph C, OIG shall notify Xxxxxxxxxx-Xxxxxxx Xxxxxx in writing regarding OIG’s basis for determining that the IRO has not met the requirements of this Appendix. Xxxxxxxxxx-Xxxxxxx Xxxxxx shall have 30 days from the date of OIG’s written notice to provide information regarding the IRO’s qualifications, independence or performance of its responsibilities in order to resolve the concerns identified by OIG. If, following OIG’s review of any information provided by Xxxxxxxxxx-Xxxxxxx Xxxxxx regarding the IRO, OIG determines that the IRO has not met the requirements of this Appendix, OIG shall notify Xxxxxxxxxx-Xxxxxxx Xxxxxx in writing that Xxxxxxxxxx-Xxxxxxx Xxxxxx shall be required to engage a new IRO in accordance with Paragraph A of this Appendix. Xxxxxxxxxx-Xxxxxxx Xxxxxx must engage a new IRO within 60 days of its receipt of OIG’s written notice. The final determination as to whether or not to require Xxxxxxxxxx-Xxxxxxx Xxxxxx to engage a new IRO shall be made at the sole discretion of OIG.
OIG Removal of IRO. In the event OIG has reason to believe the IRO does not possess the qualifications described in Paragraph B, is not independent and objective as set forth in Paragraph D, or has failed to carry out its responsibilities as described in Paragraph C, OIG may, at its sole discretion, require Good Shepherd to engage a new IRO in accordance with Paragraph A of this Appendix. Good Shepherd must engage a new IRO within 60 days of termination of the IRO. Prior to requiring Good Shepherd to engage a new IRO, OIG shall notify Good Shepherd of its intent to do so and provide a written explanation of why OIG believes such a step is necessary. To resolve any concerns raised by OIG, Good Shepherd may present additional information regarding the IRO’s qualifications, independence or performance of its responsibilities. OIG will attempt in good faith to resolve any differences regarding the IRO with Good Shepherd prior to requiring Good Shepherd to terminate the IRO. However, the final determination as to whether or not to require Good Shepherd to engage a new IRO shall be made at the sole discretion of OIG.
