Common use of Claims Review Clause in Contracts

Claims Review. The IRO shall conduct a review of Xxxxxx’x claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 2 contracts

Samples: Integrity Agreement, Integrity Agreement

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Claims Review. The IRO shall conduct a review of Xxxxxx’x Practitioner’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 2 contracts

Samples: Integrity Agreement, Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Springfield’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.‌‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Align’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xx. Xxxxxxxx’x claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xx. Xxxxxx’x claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Kelly’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Norman’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary necessary, properly supervised, and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xxxxxxxx’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B B‌ to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x claims submitted to Xx. Xxxxx and reimbursed by the Medicare and Medicaid programsJCA’s coding, to determine whether the items and services furnished were medically necessary and appropriately documentedbilling, and whether claims submission to the claims were correctly codedFederal health care programs and the reimbursement received for procedures performed by Xx. Xxxxx, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x CBHA’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x DLDC’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xxxxxxxx’x claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Princeton Pathology’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B B‌ to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x the Covered Entities’ claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x LHMC’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x claims submitted by or on behalf of Dr. Uradu and UTC to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Klurfeld’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Dr. Pal and Interventional Cardiology’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Khanna’s claims submitted to and reimbursed by the Medicare and Medicaid TRICARE programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x OGCC’s claims submitted to and reimbursed by the Medicare Medicare, Medicaid, and Medicaid programs, Managed Care programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Gardi’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xxxxxxxx Clinic’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x claims submitted to and reimbursed by the Medicare and Medicaid programsprograms by or on behalf of Xx. Xxxxxx and MRA, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xx. Xxxxxxxxxx- AFAS’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Date.‌‌ Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xxxxxxx’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xxxxx’x claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Practitioner’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x EPIPG’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

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Claims Review. The IRO shall conduct a review of Xxxxxx’x the Practice’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x GLML’s claims submitted to and reimbursed by the Medicare Medicare, Medicaid, and Medicaid programs, Managed Care programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xxxxx’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x MPG’s claims submitted to and reimbursed by the Medicare Medicare, Medicaid and Medicaid programs, TRICARE programs to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.‌‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Foot Healers’ claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x claims submitted to by or on behalf of OC and Xxxxxx and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three- month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x MMW’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x PC, Xxxxx, and Bandar’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Kumar’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x FHG’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.‌‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xx. Xxx and Interventional Cardiology’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Dr. Muttath’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Date.‌ Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary necessary, properly supervised, and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xxxx Clinic’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x SPI’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Dr. Xxxxxxx’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, submitted, and reimbursed for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Date.‌ Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Xxxxx Pharmacy’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-three month period for purposes of the Quarterly Claims Review requirement shall begin 30 days day after the Effective Date. Date.‌ Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌Review.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall conduct a review of Xxxxxx’x Gonzaga’s claims submitted to and reimbursed by the Medicare and Medicaid programs, programs to determine whether the items and services furnished were medically necessary and appropriately documented, documented and whether the claims were correctly coded, submitted, and reimbursed reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and shall prepare a Quarterly Claims Review Report, as outlined in Appendix B to this IA, which is incorporated by reference. The first three-month period for purposes of the Quarterly Claims Review requirement shall begin 30 days after the Effective Date. Each Quarterly Claims Review Report shall be submitted to OIG within 60 days following the end of the three-month period covered by the Quarterly Claims Review.‌

Appears in 1 contract

Samples: Integrity Agreement

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