Common use of IRO Qualifications The IRO shall Clause in Contracts

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 Claims Review who have expertise in the Medicare and state Medicaid Federal health care program requirements applicable to the claims being reviewed;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare billing, coding, reporting, and state Medicaid program other requirements applicable to of submitting claims for power wheelchairs and accessories and in the claims being reviewedgeneral requirements of the Federal health care program(s) from which Xxxxx seeks reimbursement;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review and Additional Items Review who have expertise in the billing, coding, claims submission and other applicable Medicare and state Medicaid program requirements applicable to the claims being reviewedrequirements;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare Medicare, state Medicaid, and state Medicaid TRICARE program requirements applicable to the claims being reviewed;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare billing, coding, reporting, and state Medicaid program other requirements applicable to of submitting claims for power wheelchairs and accessories and in the claims being reviewedgeneral requirements of the Federal health care program(s) from which Orbit seeks reimbursement;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Quarterly Claims Review who have expertise in the Medicare Part D requirements and state Medicaid program requirements and state Board of Pharmacy requirements applicable to the claims being revieweddispensing and billing for prescription drugs;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Quarterly Claims Review who have expertise in the Medicare and state Medicaid Federal health care program requirements applicable to the claims being reviewed;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Quarterly Claims Review who have expertise in the billing, coding, claims submission and other applicable Medicare and state Medicaid program requirements applicable to the claims being reviewedrequirements;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare billing, coding, claims submission, and state Medicaid other Federal health care program requirements applicable relating to the claims being reviewedfor items and services submitted by Xxxxx;

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 Claims Review who have expertise in the Medicare billing, coding, reporting, and state Medicaid program other requirements applicable to of claims for physical therapy services and in the claims being reviewedgeneral requirements of the Federal health care program(s) from which the Provider seeks reimbursement;

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 retail and specialty pharmacy claims being reviewed;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare billing, coding, claims submission and state Medicaid other applicable Federal health care program requirements applicable to the claims being reviewedrequirements;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare billing, coding, claims submission, and state Medicaid other Federal health care program requirements applicable relating to the claims being reviewedfor items and services submitted by MBPC;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare billing, coding, reporting, and state Medicaid program other requirements applicable to of physical therapy services and in the claims being reviewedgeneral requirements of the Federal health care program(s) from which Southern States seeks reimbursement;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Quarterly Claims Review who have expertise in the Medicare billing, coding, claims submission and other applicable Medicare, state Medicaid, and Medicaid Managed Care program requirements applicable to the claims being reviewedrequirements;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Quarterly Claims Review who have expertise in the Medicare and state Medicaid TRICARE program requirements applicable to the claims being reviewed;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare billing, coding, reporting, and state Medicaid program other requirements applicable to of urine drug testing labs and in the claims being reviewedgeneral requirements of the Federal health care program(s) from which Medicus 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 physical and aquatic therapy services billed to Medicare and state Medicaid program in the general requirements applicable to of the claims being reviewedFederal health care program(s) from which Xxxxxxx seeks reimbursement;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare billing, coding, the requirements for sleep studies, claims submission, and state Medicaid other Federal health care program requirements applicable relating to the claims being reviewedfor items and services submitted by Choudhary-Rolla Neurology;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review who have expertise in the Medicare billing, coding, reporting, and state Medicaid program other requirements applicable to outpatient physical and occupational therapy services and in the claims being reviewedgeneral requirements of the Federal health care program(s) from which USPh seeks reimbursement;