Common use of Quarterly Claims Review Clause in Contracts

Quarterly Claims Review. The IRO shall conduct a review of Xx. Xxxxxxxx and Fleckner, P.C.’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.‌

Quarterly Claims Review. The IRO shall conduct a review of Xx. Xxxxxxxx and Fleckner, P.C.Xxxxxx-Xxxxxx D.P.M.’s claims submitted to and reimbursed by the Medicare and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.‌

Quarterly Claims Review. The IRO shall conduct a review of Xx. Xxxxxxxx and Fleckner, P.C.Practitioner’s claims submitted to and reimbursed by the Medicare Medicare, Medicaid, TRICARE and Medicaid programsthe Department of Veterans Affairs, Veterans Health Administration programs to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.‌

Quarterly Claims Review. The IRO shall conduct a review of Xx. Xxxxxxxx and Fleckner, P.C.APS’s claims submitted to and reimbursed by the Medicare, Medicare Managed Care, Medicaid Managed Care, and Medicaid programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.‌IA.

Quarterly Claims Review. The IRO shall conduct a review of Xx. Xxxxxxxx Monos, Ltd., 215, and Fleckner, P.C.’s Xxxxxxxx’x claims submitted to and reimbursed by the Medicare, Medicare Managed Care, Medicaid, and Medicaid Managed Care programs, to determine whether the items and services furnished were medically necessary and appropriately documented, and whether the claims were correctly coded, billed, and reimbursed, for each three-month period during the term of this IA (Quarterly Claims Review) and prepare a report for each Quarterly Claims Review performed. The first three-month period shall begin 30 days following the Effective Date of this IA.‌