Fraud Prevention Activities definition

Fraud Prevention Activities means expenditures on activities related to fraud prevention as defined in 42 CFR 438.8(e)(4). Note: CMS has instructed OHA to disregard any expenses under this category until a definition for Fraud Prevention Activities is published under 45 CFR 158.
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Fraud Prevention Activities means expenditures on activities related to fraud prevention as defined in 42 CFR 438.8(e)(4).
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Fraud Prevention Activities means expenditures on activities related to fraud prevention as adopted by the private market at 45 CFR part 158 and described in 42 CFR §438.608(a)(1)-(5), (7), (8) and (b).
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Examples of Fraud Prevention Activities in a sentence

  • Fraud Prevention Activities Enter the amount that is reported on the Minimum Medical Loss Ratio template as defined in the Instructions for that Form.20.

  • Fraud Prevention Activities Enter costs incurred specific to this LOB using the same definitions as included in the Minimum Medical Loss Ratio template Instructions for that Form.

  • The Technical Appendix states the conventional definition: indoor water use is equated with nonseasonal use and is measured as the average level of water use for the months October through April.37 However, for purposes of the passive conservation adjustment, the spreadsheet redefines indoor water use as equal to the level of water use in the minimum month (March, in this case).

  • LEAVE AS ZERO UNTIL INSTRUCTED OTHERWISE) Note: CMS has instructed OHA to disregard any expenses under this category until a definition for Fraud Prevention Activities is published under 45 CFR 158.

  • We recommend that any such merchant and issuer fees paid should be reflected as an offset to the gross expense.• Section II asks for Data Security Costs separate from Fraud Prevention Activities and Costs.

  • CMS Should Attribute Investments in Fraud Prevention Activities as Expenses to Incurred Claims for Medical Loss Ratio Reporting Purposes AMCP strongly supports the inclusion of fraud prevention expenditures in incurred claims for MLR reporting purposes.

  • Ofthese, 1,624 were founded and referred for prosecution or administrative disqualification.Annual Report on the Data Matches, Fraud Prevention Activities, and Application Processing During State Fiscal Year (SFY) 2019December 2019 Report MandateThe Code of Virginia (Code) requires the Virginia Department of Social Services to report on data matches, fraud prevention activities and application processing.

Related to Fraud Prevention Activities

  • Nuclear fuel cycle-related research and development activities means those activities which are specifically related to any process or system development aspect of any of the following: - conversion of nuclear material, - enrichment of nuclear material, - nuclear fuel fabrication, - reactors, - critical facilities, - reprocessing of nuclear fuel, - processing (not including repackaging or conditioning not involving the separation of elements, for storage or disposal) of intermediate or high-level waste containing plutonium, high enriched uranium or uranium-233, but do not include activities related to theoretical or basic scientific research or to research and development on industrial radioisotope applications, medical, hydrological and agricultural applications, health and environmental effects and improved maintenance.

  • Backflow Prevention Assembly means any mechanical assembly installed at a water service line or at a plumbing fixture to prevent a backflow contamination event, provided that the mechanical assembly is appropriate for the identified contaminant at the cross connection and is an in-line field-testable assembly.

  • Development regulations or "regulation" means the controls

  • Sexual Exploitation and Abuse “(SEA)” means the following:

  • Disaster Management Act means the Disaster Management Act, 2002 (Act No.57 of 2002)

  • Extracurricular activities means: a voluntary activity sponsored by the school or local education agency or an organization sanctioned by the local education agency. Extracurricular activities include, but are not limited to, preparation for and involvement in public performances, contests, athletic competitions, demonstrations, displays, and club activities.

  • Development Activities means any activity, including the discharge of dredged or fill material, which results directly in a more than de minimus change in the hydrologic regime, bottom contour, or the type, distribution or diversity of hydrophytic vegetation, or which impairs the flow, reach, or circulation of surface water within wetlands or other waters;

  • Medical Affairs Activities means, with respect to any country or other jurisdiction in the Territory, the coordination of medical information requests and field based medical scientific liaisons with respect to Licensed Compounds or Licensed Products, including activities of medical scientific liaisons and the provision of medical information services with respect to a Licensed Compound or Licensed Product.

  • Waste prevention means source reduction and reuse, but not recycling.

  • Backflow prevention device means a safety device used to prevent pollution or contamination of the water supply due to the reverse flow of water from the irrigation system.

  • Collaborative drug therapy management means participation by an authorized pharmacist and a physician in the management of drug therapy pursuant to a written community practice protocol or a written hospital practice protocol.

  • Clinical Trials means a controlled study in humans of the safety or efficacy of a Product, and includes, without limitation, such clinical trials as are designed to support expanded labeling or to satisfy the requirements of an Agency in connection with any Product Approval and any other human study used in research and Development of a Product.

  • Substance use disorder professional means a person

  • Commercial Activities means activities conducted on a commercial basis.

  • Construction Activities means the disturbance of soils associated with clearing, grading, excavation activities or other construction-related activities.

  • Clinical means having a significant relationship, whether real or potential, direct or indirect, to the actual rendering or outcome of dental care, the practice of dentistry, or the quality of dental care being rendered to a patient;

  • Clinical Studies means human clinical trials for a Licensed Product and any other tests and studies for a Licensed Product in human subjects.

  • Phase I Clinical Study means a human clinical study of a product, the principal purpose of which is a preliminary determination of safety in healthy individuals or patients, as described in 21 C.F.R. 312.21(a).

  • Pattern of racketeering activity means the planned, ongoing, continuous or repeated participation or involvement in any offence referred to in Schedule 1 and includes at least two offences referred to in Schedule 1, of which one of the offences occurred after the commencement of this Act and the last offence occurred within 10 years (excluding any period of imprisonment) after the commission of such prior offence referred to in Schedule 1;

  • Spatial Planning and Land Use Management Act means the Spatial Planning and Land Use Management Act, 2013 (Act 16 of 2013);

  • Commercialization or “Commercialize” means activities directed to marketing, promoting, research and development as required, manufacturing for sale, offering for sale, distributing, importing or selling a product, including sub-licensing or sub-contracting of these activities.

  • School activities means any activity sponsored by the school including, but not limited to, classroom work, library activities, physical education classes, official assemblies and other similar gatherings, school athletic contests, band concerts, school plays and other theatrical productions, and in-school lunch periods.

  • ERCOT Protocols means the document adopted by ERCOT, including any attachments or exhibits referenced in that document, as amended from time to time, that contains the scheduling, operating, planning, reliability, and settlement (including customer registration) policies, rules, guidelines, procedures, standards, and criteria of ERCOT. For the purposes of determining responsibilities and rights at a given time, the ERCOT Protocols, as amended in accordance with the change procedure(s) described in the ERCOT Protocols, in effect at the time of the performance or non-performance of an action, shall govern with respect to that action.

  • Wild animal means any mammal, bird, fish, or other creature of a wild nature endowed with sensation and the power of voluntary motion.

  • Phase I Clinical Trial means a clinical trial conducted in healthy humans or patients, which clinical trial is designed to establish the safety, drug-drug interactions and/or pharmacokinetics of an investigational drug given its intended use, and to support continued testing of such drug in Phase II Clinical Trials.

  • Mobile crisis outreach team means a crisis intervention service for minors or families of minors experiencing behavioral health or psychiatric emergencies.