Common use of Validation Review Clause in Contracts

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Review complied with the requirements of the CIA and/or the findings or Rehab Medical Review results are inaccurate (Validation Review). Kindred shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical Review submitted as part of Kindred’s final Annual Report shall be initiated no later than one year after Kindred’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional information to clarify the results of the Rehab Medical Review or to correct the inaccuracy of the Rehab Medical Review; and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement

Appears in 1 contract

Samples: Corporate Integrity Agreement (Kindred Healthcare, Inc)

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Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Arrangements Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Arrangements Review complied with the requirements of the CIA and/or the findings or Rehab Medical Arrangements Review results are inaccurate (Validation Review). Kindred Xxxxx shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical an Arrangements Review submitted as part of Kindred’s Xxxxx’x final Annual Report shall be initiated no later than one year after Kindred’s Xxxxx’x final submission (as described in Section II) is received by OIG. OIG.‌ Prior to initiating a Validation Review, OIG shall notify Kindred Xxxxx in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred Xxxxx shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Rehab Medical Arrangements Review or to correct the inaccuracy of the Rehab Medical Review; Arrangements Review and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical IRO Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical applicable IRO Review complied with the requirements of the CIA Corporate Integrity Agreement Forest Laboratories, Inc. and/or the findings or Rehab Medical Review results are inaccurate (Validation Review). Kindred Forest shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical Review Reports submitted as part of KindredForest’s final Annual Report shall be initiated no later than one year after KindredXxxxxx’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred in writing Forest of its intent to do so and provide an a written explanation of the reasons why OIG has determined believes such a Validation Review review is necessary. Kindred shall have 30 days following To resolve any concerns raised by OIG, Xxxxxx may request a meeting with OIG to: (a) discuss the date results of the OIG’s written notice to submit a written response to OIG that includes any Review submissions or findings; (b) present any additional information to clarify the results of the Rehab Medical applicable Review or to correct the inaccuracy of the Rehab Medical Review; and/or (c) propose alternatives to the proposed Validation Review. The Xxxxxx agrees to provide any additional information as may be requested by OIG under this Section III.D.3 in an expedited manner. OIG will attempt in good faith to resolve any Review issues with Forest prior to conducting a Validation Review. However, the final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Arrangements Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Arrangements Review complied with the requirements of the CIA and/or the findings or Rehab Medical Arrangements Review results are inaccurate (Validation Review). Kindred Memorial Health shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical an Arrangements Review submitted as part of KindredMemorial Health’s final Annual Report shall be initiated no later than one year after KindredMemorial Health’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred Memorial Health in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred Memorial Health shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Rehab Medical Arrangements Review or to correct the inaccuracy of the Rehab Medical Review; Arrangements Review and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical IRO Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical applicable IRO Review complied with the requirements of the CIA Corporate Integrity Agreement Forest Laboratories, Inc. and/or the findings or Rehab Medical Review results are inaccurate (Validation Review). Kindred Forest shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical Review Reports submitted as part of KindredForest’s final Annual Report shall be initiated no later than one year after KindredForest’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred in writing Forest of its intent to do so and provide an a written explanation of the reasons why OIG has determined believes such a Validation Review review is necessary. Kindred shall have 30 days following To resolve any concerns raised by OIG, Forest may request a meeting with OIG to: (a) discuss the date results of the OIG’s written notice to submit a written response to OIG that includes any Review submissions or findings; (b) present any additional information to clarify the results of the Rehab Medical applicable Review or to correct the inaccuracy of the Rehab Medical Review; and/or (c) propose alternatives to the proposed Validation Review. The Forest agrees to provide any additional information as may be requested by OIG under this Section III.D.3 in an expedited manner. OIG will attempt in good faith to resolve any Review issues with Forest prior to conducting a Validation Review. However, the final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Claims Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Claims Review complied with the requirements of the CIA and/or the findings or Rehab Medical Claims Review results are inaccurate (Validation Review). Kindred 21st Century shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical Claims Review submitted as part of Kindred21st Century’s final Annual Report shall be initiated no later than one year after Kindred21st Century’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred 21st Century in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred 21st Century shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Rehab Medical Claims Review or to correct the inaccuracy of the Rehab Medical Review; Claims Review and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement (21st Century Oncology Holdings, Inc.)

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Arrangements Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Arrangements Review complied with the requirements of the CIA and/or the findings or Rehab Medical Arrangements Review results are inaccurate (Validation Review). Kindred Hebrew Homes shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical an Arrangements Review submitted as part of Kindred’s Hebrew Homes’ final Annual Report shall be initiated no later than one year after Kindred’s Hebrew Homes’ final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred Hebrew Homes in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred Hebrew Homes shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Rehab Medical Arrangements Review or to correct the inaccuracy of the Rehab Medical Review; Arrangements Review and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Claims Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Claims Review complied with the requirements of the CIA and/or the findings or Rehab Medical Claims Review results are inaccurate (Validation Review). Kindred UMHS shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical Claims Review submitted as part of KindredUMHS’s final Annual Report shall be initiated no later than one year after KindredUMHS’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred UMHS in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred UMHS shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Rehab Medical Claims Review or to correct the inaccuracy of the Rehab Medical Review; Claims Review and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

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Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Arrangements Review fails to conform to the requirements of this CIA; or (b) the Legal IRO’s findings or Rehab Medical Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Arrangements Review complied with the requirements of the CIA and/or the findings or Rehab Medical Arrangements Review results are inaccurate (Validation Review). Kindred Tuomey shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical an Arrangements Review submitted as part of Kindred’s Xxxxxx’x final Annual Report shall be initiated no later than one year after Kindred’s Xxxxxx’x final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred Tuomey in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred Tuomey shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Rehab Medical Arrangements Review or to correct the inaccuracy of the Rehab Medical Review; Arrangements Review and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Arrangements Review fails to conform to the requirements of this CIA; or (b) the Legal IRO’s findings or Rehab Medical Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Arrangements Review complied with the requirements of the CIA and/or the findings or Rehab Medical Arrangements Review results are inaccurate (Validation Review). Kindred Xxxxxx shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical an Arrangements Review submitted as part of Kindred’s Xxxxxx’x final Annual Report shall be initiated no later than one year after Kindred’s Xxxxxx’x final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred Xxxxxx in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred Xxxxxx shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Rehab Medical Arrangements Review or to correct the inaccuracy of the Rehab Medical Review; Arrangements Review and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Arrangements Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Arrangements Review complied with the requirements of the CIA and/or the findings or Rehab Medical Arrangements Review results are inaccurate (Validation Review). Kindred Balboa shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical an Arrangements Review submitted as part of KindredXxxxxx’s final Annual Report shall be initiated no later than one year after KindredXxxxxx’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred Xxxxxx in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred Xxxxxx shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Rehab Medical Arrangements Review or to correct the inaccuracy of the Rehab Medical Review; Arrangements Review and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical IRO Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical applicable IRO Review complied with the requirements of the CIA and/or the findings or Rehab Medical Review results are inaccurate (Validation Review). Kindred Elan shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical Review Reports submitted as part of KindredElan’s final Annual Report shall be initiated no later than one year after KindredElan’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Kindred in writing Elan of its intent to do so and provide an a written explanation of the reasons why OIG has determined believes such a Validation Review review is necessary. Kindred shall have 30 days following To resolve any concerns raised by OIG, Elan may request a meeting with OIG to: (a) discuss the date results of the OIG’s written notice to submit a written response to OIG that includes any Review submissions or findings; (b) present any additional information to clarify the results of the Rehab Medical applicable Review or to correct the inaccuracy of the Rehab Medical Review; and/or (c) propose alternatives to the proposed Validation Review. The Elan agrees to provide any additional information as may be requested by OIG under this Section III.D.3 in an expedited manner. OIG will attempt in good faith to resolve any Review issues with Elan prior to conducting a Validation Review. However, the final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement (Elan Corp PLC)

Validation Review. In the event OIG has reason to believe that: (a) any Rehab Medical Claims Review fails to conform to the requirements of this CIA; or (b) the IRO’s findings or Rehab Medical Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Rehab Medical Claims Review complied with the requirements of the CIA and/or the findings or Rehab Medical Claims Review results are inaccurate (Validation Review). Kindred Toccoa shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents. Any Validation Review of a Rehab Medical Claims Review submitted as as‌‌ part of KindredToccoa’s final Annual Report shall be initiated no later than one year after KindredToccoa’s final submission (as described in Section II) is received by OIG. OIG.‌ Prior to initiating a Validation Review, OIG shall notify Kindred Toccoa in writing of its intent to do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. Kindred Toccoa shall have 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Rehab Medical Claims Review or to correct the inaccuracy of the Rehab Medical Review; Claims Review and/or propose alternatives to the proposed Validation Review. The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG. RehabCare and Kindred - Corporate Integrity Agreement.

Appears in 1 contract

Samples: Corporate Integrity Agreement

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