Common use of IRO Qualifications The IRO shall Clause in Contracts

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review and Surgical Procedures Quality Review who have expertise in the billing, coding, reporting, and other requirements governing the surgical procedures subject to review during the applicable Reporting Period, and in the general requirements of the Federal health care program(s) from which Xxx Xxxxxx seeks reimbursement;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review and Surgical Procedures Quality Inpatient Medical Necessity and Appropriateness Review who have expertise in the billing, coding, reporting, and other requirements governing the surgical procedures subject to review during the applicable Reporting Period, and in the general requirements of the Federal health care program(s) from which Xxx Xxxxxx XXXX seeks reimbursement;

IRO Qualifications The IRO shall. 1. assign individuals to conduct the Claims Review and Surgical Procedures Quality Inpatient Medical Necessity and Appropriateness Review who have expertise in the billing, coding, reporting, and other requirements governing the surgical procedures subject to review during the applicable Reporting Period, and in the general requirements of the Federal health care program(s) from which Xxx Xxxxxx MCCG seeks reimbursement;