Common use of Provider-Preventable Conditions Clause in Contracts

Provider-Preventable Conditions. ‌ Pursuant to 42 CFR §438.3(g), the MCO must comply with 42 CFR §447.26 and Minnesota Statutes, §144.7065 (provider-preventable conditions or adverse health care events ) in the encounter data, as determined by the STATE. The STATE shall provide a quarterly report of the MCO’s incidents back to the MCO. In the event that an encounter is reported with any amount other than zero in the payment fields, the MCO shall review and appropriately recoup the payment from the provider, consistent with Minnesota Statutes, §§256.969, subd. 3b, (c) and 256B.0625, subd. 3.

Provider-Preventable Conditions. ‌ Pursuant to 42 CFR §438.3(g), the MCO must comply with 42 CFR §447.26 and Minnesota Statutes, §144.7065 (provider-preventable conditions or adverse health care events events) in the encounter data, as determined by the STATE. The STATE shall provide a quarterly report of the MCO’s incidents back to the MCO. In the event that an encounter is reported with any amount other than zero in the payment fields, the MCO shall review and appropriately recoup the payment from the provider, consistent with Minnesota Statutes, §§256.969, subd. 3b, (c) and 256B.0625, subdSubd. 3.

Provider-Preventable Conditions. ‌ Pursuant to 42 CFR §438.3(g), the MCO must comply with 42 CFR §447.26 and Minnesota Statutes, §144.7065 (provider-preventable conditions or adverse health care events conditions) in the encounter data, as determined by the STATE. The STATE shall provide a quarterly report of the MCO’s incidents back to the MCO. In the event that an encounter is reported with any amount other than zero in the payment fields, the MCO shall review and appropriately recoup the payment from the provider, consistent with Minnesota Statutes, §§§ 256.969, subd. 3b, (c) and 256B.0625, subd. 3.

Provider-Preventable Conditions. ‌ Pursuant to 42 CFR §438.3(g), the MCO must comply with 42 CFR §447.26 and Minnesota Statutes, §144.7065 (provider-preventable conditions or adverse health care events conditions) in the encounter data, as determined by the STATE. The STATE shall provide a quarterly report of the MCO’s incidents back to the MCO. In the event that an encounter is reported with any amount other than zero in the payment fields, the MCO shall review and appropriately recoup the payment from the provider, consistent with Minnesota Statutes, §§§ 256.969, subd. 3b, (c) and 256B.0625, subdSubd. 3.