Common use of Supplemental Materials Clause in Contracts

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 5 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement, Corporate Integrity Agreement

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Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd CHSI shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd CHSI after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Inpatient Medical Necessity and Appropriateness Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Inpatient Medical Necessity and Appropriateness Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 3 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement (Quorum Health Corp), Corporate Integrity Agreement (Community Health Systems Inc)

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd Rehab shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Rehab after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries selected MDS Review as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd Extendicare shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review MDS Review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Extendicare after the IRO has completed its initial review MDS Review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims MDS Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims MDS Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd Dignity Health shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Dignity Health after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Inpatient Medical Necessity and Appropriateness Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Inpatient Medical Necessity and Appropriateness Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample Samples or Full Sample Samples (if applicable), and Good Shepherd the Friendship Entities shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample Samples or Full Sample Samples (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd the Friendship Entities after the IRO has completed its initial review of the Discovery Sample Samples or Full Sample Samples (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd Dignity Health shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Dignity Health after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd MCCG shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd MCCG after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Inpatient Medical Necessity and Appropriateness Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Inpatient Medical Necessity and Appropriateness Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd Xx. Xxxxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Xx. Xxxxxxxx after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd Xxxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Xxxxxxx after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims associated with each Patient Stay selected as part of the Discovery Claims Review Sample or Full Sample (if applicable), and Good Shepherd Plaza shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of a specific Patient Stay in the Discovery Sample or Full Sample (if applicable)Claims Review Sample. If the IRO accepts any supplemental documentation or materials from Good Shepherd Plaza after the IRO has completed its initial review of a Patient Stay selected as part of the Discovery Sample or Full Sample (if applicable) Claims Review Samples (Supplemental Materials), the IRO shall identify include the following in the Claims Review Report Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd the CareAll Entities shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd the CareAll Entities after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries selected as part of the Discovery Sample or Full Sample (if applicable), Quarterly Medicaid Assistance Expenditures Forms and Good Shepherd LDH shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable)Quarterly Medicaid Assistance Expenditures Forms. If the IRO accepts any supplemental documentation or materials from Good Shepherd LDH after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) Quarterly Medicaid Assistance Expenditures Review (Supplemental Materials), the IRO shall identify in the Claims Review Quarterly Medicaid Assistance Expenditures Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Quarterly Medicaid Assistance Expenditures Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.Materials.‌

Appears in 1 contract

Samples: State Agency Compliance Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd Ocean Dental shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Ocean Dental after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

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Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Claims Review Sample or Full Sample (if applicable), and Good Shepherd the U.S. Healthcare Supply DMEPOS Companies shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable)Claims Review Sample. If the IRO accepts any supplemental documentation or materials from Good Shepherd the U.S. Healthcare Supply DMEPOS Companies after the IRO has completed its initial review of the Discovery Claims Review Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Prescriptions selected as part of the Discovery Sample Samples or Full Sample Samples (if applicable), and Good Shepherd PharMerica shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample Samples or Full Sample Samples (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd PharMerica either from locations other than the Selected Pharmacy or after the IRO has completed its initial review of the Discovery Sample Samples or Full Sample Samples (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Prescription Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Prescription Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd Harmony-Xxxxxx shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Harmony-Xxxxxx after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample Samples or Full Sample Samples (if applicable), and Good Shepherd the DIG Entities shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample Samples or Full Sample Samples (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd the DIG Entities after the IRO has completed its initial review of the Discovery Sample Samples or Full Sample Samples (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd LWCIT or LWCCA shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd LWCIT or LWCCA after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample or Full Sample (if applicable), and Good Shepherd Xxxxxxxxxx Regional shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample or Full Sample (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Xxxxxxxxxx Regional after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of the Medicare beneficiaries Paid Claims selected as part of the Discovery Sample Samples or Full Sample Sample(s) (if applicable), and Good Shepherd Xxxxxxxx shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of the Discovery Sample Samples or Full Sample Sample(s) (if applicable). If the IRO accepts any supplemental documentation or materials from Good Shepherd Xxxxxxxx after the IRO has completed its initial review of the Discovery Sample Samples or Full Sample Sample(s) (if applicable) (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Supplemental Materials. The IRO shall request all documentation and materials required for its review of the medical records of Paid Claims in the Medicare beneficiaries selected as part of the Discovery Sample or Full Sample (if applicable), Claims Review Samples and Good Shepherd Vibra shall furnish such documentation and materials for each Paid Claim in the Claims Review Samples to the IRO prior to the IRO initiating its review of a specific Paid Claim in the Discovery Sample or Full Sample (if applicable)Claims Review Samples. If the IRO accepts any supplemental documentation or materials from Good Shepherd Vibra after the IRO has completed its initial review of the Discovery Sample or Full Sample (if applicable) Paid Claims in the Claims Review Samples (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.

Appears in 1 contract

Samples: Corporate Integrity Agreement

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