Repayment of Identified Overpayments. Progenity shall repay within 60 days the Overpayment(s) identified by the IRO in the Claims Review Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations or Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If Progenity determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Progenity shall repay that amount at the mean point estimate as calculated by the IRO. Progenity shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Claims Review Sample (and any related work papers) received from Progenity to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the payor.
Repayment of Identified Overpayments. Orbit shall repay within 30 days any Overpayment(s) identified in the Discovery Sample, regardless of the Error Rate, and (if applicable) the Full Sample, including the IRO’s estimate of the actual Overpayment in the Population as determined in accordance with Section A.3 above, in accordance with payor refund policies. Orbit shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor.
Repayment of Identified Overpayments. TPRC shall repay within 60 days the Overpayment(s) identified by the IRO in the Claims Review Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations or Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If TPRC determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, TPRC shall repay that amount at the mean point estimate as calculated by the IRO. TPRC shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Claims Review Sample (and any related work papers) received from TPRC to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the payor.
Repayment of Identified Overpayments. Xxxxx shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If Xxxxx determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Xxxxx shall repay that amount at the mean point estimate as calculated by the IRO. Xxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from Xxxxx to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.
Repayment of Identified Overpayments. Xxx shall repay within 60 days any Overpayment(s) identified in each Quarterly Claims Sample and Dialysis Access Procedures Sample (including any extrapolated amounts identified in accordance with Section A.3 of this Appendix), regardless of the Error Rate, to the appropriate payor and in accordance with payor refund policies. Xxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor.
Repayment of Identified Overpayments. Good Shepherd shall repay within 30 days any Overpayment(s) identified in the Discovery Sample, regardless of the Error Rate, and (if applicable) the Full Sample, including the IRO’s estimate of the actual Overpayment in the Population as determined in accordance with Section A.5 above, in accordance with payor refund policies. Good Shepherd shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor.
Repayment of Identified Overpayments. OGCC shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If OGCC determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, OGCC shall repay that amount at the mean point estimate as calculated by the IRO. OGCC shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from OGCC to the appropriate Medicare, state Medicaid, or Medicaid Managed Care program contractor for appropriate follow up by that payor.
Repayment of Identified Overpayments. Harmony-Xxxxxx shall repay within 30 days any Overpayment(s) identified in the Discovery Sample or the Full Sample (if applicable), regardless of the Error Rate, to the appropriate payor and in accordance with payor refund policies. Harmony-Xxxxxx shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor.
Repayment of Identified Overpayments. Dignity Health shall repay within 60 days any Overpayment(s) identified in each Discovery Sample, regardless of the Error Rate, and (if applicable) each Full Sample, including the IRO’s estimate of the actual Overpayment in the Population as determined in accordance with Section A.4 above, in accordance with payor refund policies. Dignity Health shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor.
Repayment of Identified Overpayments. Genova shall repay within 60 days the Overpayment(s) identified by the IRO in the Claims Review Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If Genova determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, Genova shall repay that amount at the mean point estimate as calculated by the IRO. Genova shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Claims Review Sample (and any related work papers) received from Genova to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by the payor.
