RECORDS AND AUDIT PROVISIONS. 6.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS
RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The OTP grants the Director, DHA [or authorized representative(s)], the right to conduct on-site or off-site reviews or accounting audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/review includes, but is not limited to, the right to: (a) Examine fiscal and all other records of the OTP which would confirm compliance with this agreement and designation as an authorized OTP provider. (b) Conduct audits of OTP records including clinical, financial, and census records to determine the nature of the services being provided, and the basis for charges and claims against the United States for services provided to beneficiaries. The Director, DHA, or a designee shall have full access to records of both TRICARE and non-TRICARE patients. Note: In most cases, only TRICARE patients’ records will be audited. Examples of situations where non-TRICARE patient records would be requested may be in situations of differential quality of care assessments or to identify systemic quality or safety concerns. (c) Examine reports of evaluations and inspections conducted by federal, state, local government, and private agencies and organizations. (d) Conduct on-site inspections of the facilities of the OTP and interview employees, members of the staff, contractors, board members, volunteers, and patients, as may be required. (e) Release copies of final review reports (including reports of on-site reviews) under the Freedom of Information Act (FOIA).
RECORDS AND AUDIT PROVISIONS. 6.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The RTC grants the Director, DHA, or authorized representative(s), the right to conduct on-site or off-site reviews or accounting audits with full access to patients and records. The reviews or audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/ review includes, but is not limited to, the right to:
RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The SUDRF grants the Deputy Director, TMA or authorized representative(s), the right to conduct on-site or off-site reviews or accounting audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/ review includes, but is not limited to the right to:
RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The IOP grants the Director, DHA [or authorized representative(s)], the right to conduct on- site or off-site reviews or accounting audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/review includes, but is not limited to, the right to:
RECORDS AND AUDIT PROVISIONS. 4.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The hospice program grants the Deputy Director, TMA, or his designee the right to conduct quality assurance audits or accounting (record) audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. The right to audit/ review includes, but is not limited to:
RECORDS AND AUDIT PROVISIONS. 6.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The PHP grants the Deputy Director, TMA [or authorized representative(s)], the right to conduct on-site or off-site reviews or accounting audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/ review includes, but is not limited to, the right to:
RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS AND AUDITS The BC grants the Deputy Director, TMA [or authorized representative(s)], the right to conduct quality assurance audits or accounting (record) audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit and/or review includes, but is not limited to:
RECORDS AND AUDIT PROVISIONS. 6.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The PHP grants the Director, DHA [or authorized representative(s)], the right to conduct on- site or off-site reviews or accounting audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/review includes, but is not limited to, the right to:
RECORDS AND AUDIT PROVISIONS. 5.1 ON-SITE AND OFF-SITE REVIEWS/AUDITS The SUDRF grants the Director, DHA, or authorized representative(s), the right to conduct on- site or off-site reviews or accounting audits with full access to patients and records. The audits may be conducted on a scheduled or unscheduled (unannounced) basis. This right to audit/review includes, but is not limited to the right to:
