IRO Engagement Clause Samples
The IRO Engagement clause defines the terms under which an Independent Review Organization (IRO) is retained to perform specific oversight or audit functions. Typically, this clause outlines the process for selecting the IRO, the scope of their responsibilities, and the duration of their engagement, such as reviewing compliance with regulatory requirements or internal policies. By clearly establishing the framework for the IRO's involvement, this clause ensures impartial oversight and helps maintain accountability, thereby addressing potential conflicts of interest and enhancing trust in the review process.
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IRO Engagement.
1. ▇▇. ▇▇▇▇▇▇ shall engage an IRO that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall conduct the review in a professionally independent and objective fashion, as set forth in Paragraph E. Within 30 days after OIG receives the information identified in Section V.A.2 of the IA or any additional information submitted by ▇▇. ▇▇▇▇▇▇ in response to a request by OIG, whichever is later, OIG will notify ▇▇. ▇▇▇▇▇▇ if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, ▇▇. ▇▇▇▇▇▇ may continue to engage the IRO.
2. If ▇▇. ▇▇▇▇▇▇ engages a new IRO during the term of the IA, that IRO must also meet the requirements of this Appendix. If a new IRO is engaged, ▇▇. ▇▇▇▇▇▇ shall submit the information identified in Section V.A.2 of the IA to OIG within 30 days of engagement of the IRO. Within 30 days after OIG receives this information, or any additional information submitted by ▇▇. ▇▇▇▇▇▇ at the request of OIG, whichever is later, OIG will notify ▇▇. ▇▇▇▇▇▇ if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, ▇▇. ▇▇▇▇▇▇ may continue to engage the IRO.
IRO Engagement. 1. CHSI shall engage an IRO that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall conduct the review in a professionally independent and objective fashion, as set forth in Paragraph D. Within 30 days after OIG receives the information identified in Section V.A.12 of the CIA or any additional information submitted by CHSI in response to a request by OIG, whichever is later, OIG will notify CHSI if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, CHSI may continue to engage the IRO.
2. If CHSI engages a new IRO during the term of the CIA, this IRO shall also meet the requirements of this Appendix. If a new IRO is engaged, CHSI shall submit the information identified in Section V.A.12 of the CIA to OIG within 30 days of engagement of the IRO. Within 30 days after OIG receives this information or any additional information submitted by CHSI at the request of OIG, whichever is later, OIG will notify CHSI if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, CHSI may continue to engage the IRO.
IRO Engagement. GSK shall engage an IRO (or IRO(s)) that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall conduct the review in a professionally independent and objective fashion, as set forth in Paragraph D. Within 30 days after OIG receives the information identified in Section V.A.11 of the CIA or any additional information submitted by GSK in response to a request by OIG, whichever is later, OIG will notify GSK if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, GSK may continue to engage the IRO. If GSK engages a new IRO during the term of the CIA, this IRO shall also meet the requirements of this Appendix. If a new IRO is engaged, GSK shall submit the information identified in Section V.A.11 of the CIA to OIG within 30 days of engagement of the IRO. Within 30 days after OIG receives this information or any additional information submitted by GSK at the request of OIG, whichever is later, OIG will notify GSK if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, GSK may continue to engage the IRO.
IRO Engagement. HealthSouth shall engage an IRO that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall conduct the review in a professionally independent and/or objective fashion, as set forth in Paragraph D. Within 30 days after OIG receives written notice of the identity of the selected IRO, OIG will notify HealthSouth if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, HealthSouth may continue to engage the IRO. If HealthSouth engages a new IRO during the term of the CIA, this IRO shall also meet the requirements of this Appendix. If a new IRO is engaged, HealthSouth shall submit the information identified in Section V.A.8 to OIG within 30 days of engagement of the IRO. Within 30 days after OIG receives written notice of the identity of the selected IRO, OIG will notify HealthSouth if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, HealthSouth may continue to engage the IRO.
IRO Engagement. 1. Good Shepherd shall engage an IRO that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall conduct the review in a professionally independent and objective fashion, as set forth in Paragraph D. Within 30 days after OIG receives the information identified in Section V.A.8 of the CIA or any additional information submitted by Good Shepherd in response to a request by OIG, whichever is later, OIG will notify Good Shepherd if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, Good Shepherd may continue to engage the IRO.
2. If Good Shepherd engages a new IRO during the term of the CIA, this IRO shall also meet the requirements of this Appendix. If a new IRO is engaged, Good Shepherd shall submit the information identified in Section V.A.8 of the CIA to OIG within 30 days of engagement of the IRO. Within 30 days after OIG receives this information or any additional information submitted by Good Shepherd at the request of OIG, whichever is later, OIG will notify Good Shepherd if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, Good Shepherd may continue to engage the IRO.
IRO Engagement. A. For each review, KDMC shall engage an IRO that possesses the qualifications set forth in Section II, below, to perform the responsibilities in Section III, below. Each IRO shall conduct its review in a professionally independent and objective fashion, as set forth in Section IV, below. The Legal IRO shall not have a prohibited relationship to KDMC. Within 30 days after OIG receives the information identified in Section V.A.13 of the CIA or any additional information submitted by KDMC in response to a request by OIG, whichever is later, OIG will notify KDMC if either IRO is unacceptable. Absent notification from OIG that an IRO is unacceptable, KDMC may continue to engage the IRO.
B. If KDMC engages a new IRO during the term of the CIA, this IRO shall also meet the requirements of this Appendix. If a new IRO is engaged, KDMC shall submit the information identified in Section V.A.13 of the CIA to OIG within 30 days of engagement of the IRO. Within 30 days after OIG receives this information or any additional information submitted by KDMC at the request of OIG, whichever is later, OIG will notify KDMC if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, KDMC may continue to engage the IRO.
IRO Engagement. 1. The Friendship Entities shall engage an IRO that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall conduct the review in a professionally independent and objective fashion, as set forth in Paragraph D. Within 30 days after OIG receives the information identified in Section V.A.8 of the CIA or any additional information submitted by the Friendship Entities in response to a request by OIG, whichever is later, OIG will notify the Friendship Entities if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, the Friendship Entities may continue to engage the IRO.
2. If the Friendship Entities engage a new IRO during the term of the CIA, that IRO must also meet the requirements of this Appendix. If a new IRO is engaged, the Friendship Entities shall submit the information identified in Section V.A.8 of the CIA to OIG within 30 days of engagement of the IRO. Within 30 days after OIG receives this information or any additional information submitted by the Friendship Entities at the request of OIG, whichever is later, OIG will notify the Friendship Entities if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, the Friendship Entities may continue to engage the IRO.
IRO Engagement. LWCI shall engage an IRO that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall conduct the review in a professionally independent and objective fashion, as set forth in Paragraph D. Within 30 days after OIG receives the information identified in Section V.A.8 of the CIA or any additional information submitted by LWCI in response to a request by OIG, whichever is later, OIG will notify LWCI if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, LWCI may continue to engage the IRO.
IRO Engagement. 1. Genova shall engage an IRO that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall conduct the review in a professionally independent and objective fashion, as set forth in Paragraph E. Within 30 days after OIG receives the information identified in Section V.A.7 of the CIA or any additional information submitted by Genova in response to a request by OIG, whichever is later, OIG will notify Genova if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, Genova may continue to engage the IRO.
2. If Genova engages a new IRO during the term of the CIA, that IRO must also meet the requirements of this Appendix. If a new IRO is engaged, Genova shall submit the information identified in Section V.A.7 of the CIA to OIG within 30 days of engagement of the IRO. Within 30 days after OIG receives this information or any additional information submitted by Genova at the request of OIG, whichever is later, OIG will notify Genova if the IRO is unacceptable. Absent notification from OIG that the IRO is unacceptable, Genova may continue to engage the IRO.
IRO Engagement. 1. Radeas shall engage an IRO to perform the Claims Review that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall conduct the Claims Review in a professionally independent and objective fashion, as set forth in Paragraph E.
2. Radeas shall engage an IRO to perform the Arrangements Review that possesses the qualifications set forth in Paragraph B, below, to perform the responsibilities in Paragraph C, below. The IRO shall not have a prohibited relationship to Radeas as set forth in Paragraph F.
3. Within 30 days after OIG receives the information identified in Section