IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare and state Medicaid program requirements applicable to the claims being reviewed;
IRO Qualifications The IRO shall. 1. assign individuals to conduct the Arrangements Review who are knowledgeable in the requirements of the Anti-Kickback Statute and the Xxxxx Law and the regulations and other guidance documents related to these statutes;
IRO Qualifications The IRO shall. 1. assign individuals to conduct the Systems Review and Transactions Review who have expertise in the medical device industry and FDA requirements relating to the Covered Functions (as defined in Section II.C of the CIA), including but not limited to expertise relating to the preparation and submission of Premarket Approval Applications (PMAs) to the FDA; and
IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review and Inpatient Medical Necessity and Appropriateness Review who have expertise in the billing, coding, reporting, and general requirements of the Federal health care program(s) from which XXXX seeks reimbursement;
IRO Qualifications The IRO shall. 1. assign individuals to conduct the MDS Review who have expertise in the billing, coding, reporting, and other requirements of the Medicare Prospective Payment System for skilled nursing facilities and in the general requirements of the Federal health care program(s) from which Extendicare seeks reimbursement;
IRO Qualifications The IRO shall. 1. assign individuals to conduct the Rehabilitation Therapy Services Medical Necessity and Appropriateness Review (Rehab Medical Review) who have expertise in the Medicare requirements relating to rehabilitation therapy in skilled nursing facilities and in the general requirements of the Federal health care program(s) from which RehabCare’s customers seeks reimbursement
IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the billing, coding, reporting, and other requirements of dental and orthodontic claims and in the general requirements of the Federal health care program(s) from which All Smiles seeks reimbursement;
IRO Qualifications The IRO shall
