Common use of Repayment of Identified Overpayments Clause in Contracts

Repayment of Identified Overpayments. SPI shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If SPI determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, SPI shall repay that amount at the mean point estimate as calculated by the IRO. SPI shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from SPI to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.

Repayment of Identified Overpayments. SPI GLML shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If SPI GLML determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, SPI GLML shall repay that amount at the mean point estimate as calculated by the IRO. SPI GLML shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from SPI GLML to the appropriate Medicare Medicare, state Medicaid, or state Medicaid Managed Care program contractor for appropriate follow up by that payor.

Repayment of Identified Overpayments. SPI Provider shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If SPI Provider determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, SPI Provider shall repay that amount at the mean point estimate as calculated by the IRO. SPI Provider shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from SPI Provider to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.

Repayment of Identified Overpayments. SPI Gardi shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If SPI Gardi determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, SPI Gardi shall repay that amount at the mean point estimate as calculated by the IRO. SPI Gardi shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from SPI Gardi to the appropriate Medicare or state Medicaid program contractor for appropriate follow up by that payor.

Repayment of Identified Overpayments. SPI OGCC shall repay within 60 days any Overpayments identified by the IRO in the Quarterly Claims Sample, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and Centers for Medicare and Medicaid Services (CMS) guidance (the “CMS overpayment rule”). If SPI OGCC determines that the CMS overpayment rule requires that an extrapolated Overpayment be repaid, SPI OGCC shall repay that amount at the mean point estimate as calculated by the IRO. SPI OGCC shall make available to OIG all documentation that reflects the refund of the Overpayment(s) to the payor. OIG, in its sole discretion, may refer the findings of the Quarterly Claims Review Sample (and any related work papers) received from SPI OGCC to the appropriate Medicare Medicare, state Medicaid, or state Medicaid Managed Care program contractor for appropriate follow up by that payor.