Service Verification. (A) The Contractor shall have policies and procedures to verify that services billed by Providers were received by the Contractor’s Enrollees. The Contractor’s policies and procedures must include the following:
Service Verification. To assist DHCS in meeting its obligation under 42 CFR 455.1(a)(2), the Contractor shall establish a mechanism to verify whether services were actually furnished to beneficiaries.
Service Verification. To assist the Department in meeting its obligation under 42 C.F.R. § 455.1(a)(2), the Contractor shall have a way to verify whether services were actually furnished to beneficiaries.
Service Verification. (a) For each episode of service, the provider to retain a record of the consumer's name; service date; provider's signature; and consumer's signature.
Service Verification. On a regular basis, the Mental Health Plan performs service verification to verify with the beneficiary that they actually received the services that were claimed for by the Contractor. Contractor shall notify the Mental Health Plan of any beneficiary change of address per the Mental Health Plan’s Policy and Procedure on “Service Verification” which can be accessed through the following link: xxxx://xxx.xxxxxx.xxx/providers/QA/docs/qa_manual/15-1_SERVIC_VERIFICAT_POLICY.pdf
Service Verification. Pursuant to Title 42, CFR, Section 455.1(a)(2), the Contractor shall have a way to verify with beneficiaries that services were actually provided.
Service Verification. Contractor must have a method to verify whether services were actually furnished to Enrollees.
Service Verification. COMPLEX CARE TASKS If service provision included complex care tasks, check all the approved tasks completed for each of the days of the billing month.
Service Verification. Contractor shall comply with the requirements pertaining to services verification contained in Exhibit M, “Program Integrity Requirements,” attached herein. Contractor shall obtain the client’s electronic signature on the progress note for each office-based billable direct service, utilizing a signature pad compatible with the electronic health record.
Service Verification. Provision for a method to verify, by sampling or other methods, whether services that have been represented to have been delivered by network providers were received by beneficiaries and the application of such verification processes on a regular basis.
