Source of Data. A description of the specific documentation relied upon by the IRO when performing the Cardiac Catheterization Procedures Review (e.g., medical records, physician orders, certificates of medical necessity, requisition forms, local medical review policies (including title and policy number), CMS program memoranda (including title and issuance number), Medicare carrier or intermediary manual or bulletins (including issue and date), other policies, regulations, or directives).
Appears in 3 contracts
Samples: Corporate Integrity Agreement, Corporate Integrity Agreement, Integrity Agreement
Source of Data. A description of the specific documentation relied upon by the IRO when performing the Interventional Cardiac Catheterization Procedures Review (e.g., medical records, physician orders, certificates of medical necessity, requisition forms, local medical review policies (including title and policy number), CMS program memoranda (including title and issuance number), Medicare carrier or intermediary manual or bulletins (including issue and date), other policies, regulations, or directives).
Appears in 2 contracts
Samples: Corporate Integrity Agreement, Corporate Integrity Agreement
Source of Data. A description of the specific documentation relied upon by the IRO when performing the Quarterly Claims and Cardiac Catheterization Procedures Review (e.g., medical records, physician orders, certificates of medical necessity, requisition forms, local medical review policies (including title and policy number), CMS program memoranda (including title and issuance number), Medicare carrier or intermediary contractor manual or bulletins (including issue and date), other policies, regulations, or directives).
Appears in 2 contracts
Samples: Integrity Agreement, Integrity Agreement
Source of Data. A description of the specific documentation relied upon by the IRO when performing the Cardiac Catheterization Test Procedures Review (e.g., medical records, physician orders, certificates of medical necessity, requisition forms, local medical review policies (including title and policy number), CMS program memoranda (including title and issuance number), Medicare carrier or intermediary manual or bulletins (including issue and date), other policies, regulations, or directives).
Appears in 1 contract
Samples: Integrity Agreement
Source of Data. A description of the specific documentation relied upon by the IRO when performing the Cardiac Catheterization Arterial and Vascular Procedures Review (e.g., medical records, physician orders, certificates of medical necessity, requisition forms, local medical review policies (including title and policy number), CMS program memoranda (including title and issuance number), Medicare carrier or intermediary manual or bulletins (including issue and date), other policies, regulations, or directives).
Appears in 1 contract
Samples: Integrity Agreement