Arrangements Transactions Review Clause Samples
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 25 randomly selected Focus Arrangements that were entered into or renewed by Progenity during the Reporting Period. The IRO shall assess whether Progenity has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements.
1. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
a. verifying that the Focus Arrangement is maintained in Progenity’s centralized tracking system in a manner that permits the IRO to identify: (i) the parties to the Focus Arrangement, (ii) the name(s) and position(s) of the Arrangements Covered Person(s) involved in the negotiation, review, and approval of the Focus Arrangement; (iii) the relevant terms of the Focus Arrangement (i.e., the items, services, equipment, or space to be provided, the amount of compensation, the effective date, the expiration date, etc.); and (iv) the parties’ performance under the Focus Arrangement (i.e., items or services actually provided, equipment or space actually provided or leased, amount of payments, dates of payment, etc.);
b. verifying that the Focus Arrangement was subject to the internal review and approval process (including both a legal and business review) and obtained the necessary approvals and that such review and approval is appropriately documented;
c. verifying that the remuneration related to the Focus Arrangement has been determined in accordance with Progenity’s policies and procedures for determining and documenting the fair market value of the remuneration, that the remuneration is properly tracked, and that the parties to the Focus Arrangement are complying with the financial terms of the Focus Arrangement;
d. verifying that the business need or business rationale for the Focus Arrangement is specified and is consistent with Progenity’s policies and procedures;
e. verifying that the service and activity logs are properly completed and reviewed (if applicable);
f. verifying that leased space, medical supplies, medical devices, and equipment, and other patient care items are properly monitored (if applicable); and
g. verifying that the Focus Arrangement satisfies the Focus Arrangements Requirements of Section III.D.2 of the CIA.
2. For any Focus Arrangement for which the IRO cannot verify compliance with each of the applicable requi...
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 50 randomly selected Focus Arrangements that were entered into or renewed by ▇▇▇▇▇▇▇▇ during the Reporting Period. The IRO shall assess whether ▇▇▇▇▇▇▇▇ has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
1. verifying that the Focus Arrangement is maintained in ▇▇▇▇▇▇▇▇’▇ centralized tracking system in a manner that permits the IRO to identify the parties to the Focus Arrangement and the relevant terms of the Focus Arrangement (i.e., the items/services/equipment/space to be provided, the amount of compensation, the effective date, the expiration date, etc.)
2. verifying that the Focus Arrangement was subject to the internal review and approval process (including both a legal and business review) and obtained the necessary approvals and that such review and approval is appropriately documented;
3. verifying that the remuneration related to the Focus Arrangement is properly tracked;
4. verifying that the service and activity logs are properly completed and reviewed (if applicable);
5. verifying that leased space, medical supplies, medical devices, and equipment, and other patient care items are properly monitored (if applicable); and
6. verifying that the Focus Arrangement satisfies the Focus Arrangements Requirements of Section III.D.2 of the CIA.
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 50 randomly selected Focus Arrangements that were entered into or renewed by the DIG Entities during the Reporting Period or 20% of such Focus Arrangements, whichever is less. The IRO shall assess whether the DIG Entities has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
1. verifying that the Focus Arrangement is maintained in the DIG Entities’ centralized tracking system in a manner that permits the IRO to identify the parties to the Focus Arrangement and the relevant terms of the Focus Arrangement (i.e., the items/services/equipment/space to be provided, the amount of compensation, the effective date, the expiration date, etc.)
2. verifying that the Focus Arrangement was subject to the internal review and approval process (including both a legal and business review) and obtained the necessary approvals and that such review and approval is appropriately documented;
3. verifying that the remuneration related to the Focus Arrangement is properly tracked;
4. verifying that the service and activity logs are properly completed and reviewed (if applicable);
5. verifying that leased space, medical supplies, medical devices, and equipment, and other patient care items are properly monitored (if applicable); and
6. verifying that the Focus Arrangement satisfies the Focus Arrangements Requirements of Section III.D.2 of the CIA.
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the Legal IRO of 75 Focus Arrangements that were entered into or renewed by Halifax during the Reporting Period with: (1) physicians or other health care professionals; or (2) entities owned or controlled, in whole or in part, by physicians or other health care professionals. The Legal IRO shall select its sample of Focus Arrangements for review in consultation with OIG. The Legal IRO shall assess whether Halifax has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA with respect to the selected Focus Arrangements. The Legal IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
1. verifying that the Focus Arrangement is maintained in Halifax’s centralized tracking system in a manner that permits the Legal IRO to identify the parties to the Focus Arrangement and the relevant terms of the Focus Arrangement (i.e., the items/services/equipment/space to be provided, the amount of compensation, the effective date, the expiration date, etc.);
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 50 randomly selected Focus Arrangements that were entered into or renewed by ▇▇▇▇▇ during the Reporting Period. The IRO shall assess whether ▇▇▇▇▇ has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of annual reviews by the IRO of the following categories of Focus Arrangements: (1) 25 Focus Arrangements of a similar type chosen by OIG (e.g., per diem contracts, contracts in a specific geographic region, or contracts with a specific long-term care facility chain), for which OIG may consider proposals submitted by CVS Health, internal risk assessment and audit work conducted by CVS Health or the IRO, and other information known to OIG; (2) 25 existing (performed under for at least one year) Focus Arrangements with long-term care facilities; (3) 25 new (entered into during the Reporting Period) Focus Arrangements with long-term care facilities; and (4) 25 Focus Arrangements relating to CVS Health’s IPS Operations that are not included in the previous three categories. The IRO shall randomly select the specific Focus Arrangements to be reviewed for each of the four categories listed above. The IRO shall assess whether CVS Health has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
1. verifying that the Focus Arrangement is maintained in CVS Health’s centralized tracking system in a manner that permits the IRO to identify the parties to the Focus Arrangement; the names and positions of the Arrangements Covered Persons involved in the original negotiations for all new or renewed Focus Arrangements, the Arrangements Covered Persons involved in the original negotiations for all existing Focus Arrangements if available, the Regional Vice President(s) with oversight over the Focus Arrangement, and the lawyer who reviewed and approved the Focus Arrangements; the relevant terms of the Focus Arrangement (i.e., the items or services to be provided; the amount of compensation; any discounts, write-offs, debt forgiveness, short-pays, accounts receivable, collection efforts, settlements, and aging of balances; the effective date; the expiration date; etc.); and the parties’ performance under the Focus Arrangement (i.e., items or services actually provided, amount of payments, dates of payment, amounts owed, discounts, write-offs, debt forgiveness, short-pays, accounts receivable, collection efforts, settlements, aging of balances, etc.);
2. verifying that the Focus Arrangement wa...
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the Legal IRO of 75 Focus Arrangements that were entered into or renewed by KDMC during the Reporting Period with: (1) physicians or other health care professionals; or (2) entities owned or controlled, in whole or in part, by physicians or other health care professionals. The Legal IRO shall select its sample of Focus Arrangements for review in consultation with OIG. The Legal IRO shall assess whether KDMC has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.F.1 and III.F.2 of the CIA, with respect to the selected Focus Arrangements. The Legal IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 50 randomly selected Focus Arrangements that were entered into or renewed by SDNA during the Reporting Period. The IRO shall assess whether SDNA has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
1. verifying that the Focus Arrangement is maintained in SDNA’s centralized tracking system in a manner that permits the IRO to identify the parties to the Focus Arrangement and the relevant terms of the Focus Arrangement (i.e., the items/services/equipment/space to be provided, the amount of compensation, the effective date, the expiration date, etc.);
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 50 randomly selected Focus Arrangements that were entered into or renewed by Mercy during the Reporting Period with: (1) physicians or other health care professionals; or (2) entities owned or controlled, in whole or in part, by physicians or other health care professionals. The IRO shall assess whether ▇▇▇▇▇ has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
Arrangements Transactions Review. The Arrangements Transactions Review shall consist of a review by the IRO of 25 randomly selected Focus Arrangements that were entered into or renewed by Progenity during the Reporting Period. The IRO shall assess whether Progenity has complied with the Focus Arrangements Procedures and the Focus Arrangements Requirements described in Sections III.D.1 and III.D.2 of the CIA, with respect to the selected Focus Arrangements.
1. The IRO’s assessment with respect to each Focus Arrangement that is subject to review shall include:
a. verifying that the Focus Arrangement is maintained in Progenity’s centralized tracking system in a manner that permits the IRO to identify: (i) the parties to the Focus Arrangement, (ii) the name(s) and position(s) of the Arrangements Covered Person(s) involved in the negotiation, review, and approval of the Focus Arrangement;