Common use of Claims Review Clause in Contracts

Claims Review. The IRO shall review fee-for service claims submitted by CHN and reimbursed by the Medicare program, to determine whether the items and services furnished were medically necessary and appropriately documented and whether the claims were correctly coded, submitted, and reimbursed (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C to this CIA, which is incorporated by reference.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

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Claims Review. The IRO shall review Xxxxxx’s fee-for for-service claims submitted by CHN to and reimbursed by the Medicare program, 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 (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIAIA, which is incorporated by reference.reference.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall review fee-for service claims submitted by CHN CHSI Covered Facilities and reimbursed by the Medicare programMedicare, to determine whether the items and services furnished were medically necessary and appropriately documented and whether the claims were correctly coded, submitted, submitted and reimbursed (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIA, which is incorporated by reference.

Appears in 1 contract

Samples: Corporate Integrity Agreement (Community Health Systems Inc)

Claims Review. The IRO shall review Xxxxx’x fee-for for-service claims submitted by CHN to and reimbursed by the Medicare program, 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 (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIAIA, which is incorporated by reference.reference.‌

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall review fee-for for-service claims submitted by CHN Numotion and reimbursed by the Medicare programand 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 (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIA, which is incorporated by reference.reference.‌‌

Appears in 1 contract

Samples: Corporate Integrity Agreement

Claims Review. The IRO shall review fee-for for-service claims submitted by CHN TEN and reimbursed by the Medicare programand 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 (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIA, which is incorporated by reference.reference.‌

Appears in 1 contract

Samples: Corporate Integrity Agreement

Claims Review. The IRO shall review fee-for service claims submitted by CHN CHSI Covered Facilities and reimbursed by the Medicare programMedicare, to determine whether the items and services furnished were medically necessary and appropriately documented and whether the claims were correctly coded, submitted, submitted and reimbursed (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIA, which is incorporated by reference.reference.‌

Appears in 1 contract

Samples: Corporate Integrity Agreement

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Claims Review. The IRO shall review fee-for for-service claims submitted by CHN Provider and reimbursed by the Medicare program, to determine whether the items and services furnished were medically necessary and appropriately documented and whether the claims were correctly coded, submitted, and reimbursed (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIA, which is incorporated by reference.reference.‌

Appears in 1 contract

Samples: Corporate Integrity Agreement

Claims Review. The IRO shall review fee-for for-service claims submitted by CHN Silver Lake and reimbursed by the Medicare program, to determine whether the items and services furnished were medically necessary and appropriately documented and whether the claims were correctly coded, submitted, and reimbursed (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIA, which is incorporated by reference.reference.‌

Appears in 1 contract

Samples: Corporate Integrity Agreement

Claims Review. The IRO shall review Provider’s fee-for for-service claims submitted by CHN to and reimbursed by the Medicare program, to determine whether the items and services furnished were medically necessary and appropriately documented and whether the claims were correctly coded, submitted, and reimbursed (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIAIA, which is incorporated by reference.

Appears in 1 contract

Samples: Integrity Agreement

Claims Review. The IRO shall review fee-for for-service claims submitted by CHN Xxxxxxxxx and reimbursed by the Medicare programand 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 (Claims Review) and shall prepare a Claims Review Report, as outlined in Appendix C B to this CIA, which is incorporated by reference.

Appears in 1 contract

Samples: Corporate Integrity Agreement

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