Common use of Narrative Results Clause in Contracts

Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇ Clinic’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by ▇▇▇▇ Clinic are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Appears in 1 contract

Sources: Integrity Agreement

Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) OC and ▇▇▇▇▇▇’Clinic’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a and state Medicaid program programs by OC and ▇▇▇▇▇▇ Clinic are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Appears in 1 contract

Sources: Integrity Agreement

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇ Clinicthe Practice’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by ▇▇▇▇ Clinic the Practice are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Appears in 1 contract

Sources: Integrity Agreement

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇▇▇▇ Clinic’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by ▇▇▇▇▇▇▇▇ Clinic are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Appears in 1 contract

Sources: Integrity Agreement

Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇ ClinicLFAC’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by ▇▇▇▇ Clinic LFAC are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Appears in 1 contract

Sources: Integrity Agreement

Narrative Results. i. ‌ 1. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇Clinic’s Pharmacy's billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing, and (b) a description of controls in place to ensure that all items and services billed to Medicare or a state Medicaid program by ▇▇▇Clinic Pharmacy are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Appears in 1 contract

Sources: Integrity Agreement