AUDIT OR REVIEW Sample Clauses
The 'Audit or Review' clause grants one party the right to examine or assess the records, operations, or financial statements of the other party to ensure compliance with the terms of the agreement. Typically, this clause outlines the scope of permissible audits, the notice required before an audit, and any limitations on frequency or confidentiality. Its core function is to provide transparency and accountability, helping to detect errors, misrepresentations, or breaches, and thereby protecting the interests of the auditing party.
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AUDIT OR REVIEW. 10.1. The Department (or persons authorised by the Department) may conduct an audit or review of the RTO at any reasonable time:
a) to confirm whether the RTO is complying with this VET Funding Contract;
b) to establish whether and to what extent the Funds have been used for the provision of the Training Services to Eligible Individuals;
c) to investigate allegations or suspected misuse of the Funds;
d) to determine the extent to which the Training Services delivered by the RTO are of high quality; and/or
e) if applicable, as part of the Department’s Audit and Risk Committee’s Internal Audit Plan.
10.2. The RTO must, in accordance with the Department’s directions:
a) permit the Department, or persons authorised by the Department, to enter its premises, and areas within those premises that are used for the delivery of Training Services, to conduct audits or reviews at any time reasonably required by the Department, including times when Training Services are being provided to Eligible Individuals;
b) provide the Department (or persons authorised by the Department) with all assistance needed to perform the audit or review, including providing access to office space, telephones, photocopy facilities and other facilities at the RTO’s premises;
c) participate in, assist with, and not prevent or unreasonably delay any audit or review:
i) administered by the Commonwealth Government (including an Invalid Enrolment Audit);
ii) specified in Clauses 9.10 or 10.1, or Schedule 1 of this VET Funding Contract; or
iii) any other audit not specifically provided for in this VET Funding Contract, but which the Department considers necessary; and
d) reimburse the Department for any costs incurred in conducting audits or reviews, if directed to do so.
10.3. If an audit or review conducted by, or on behalf of, the Department concludes that there has been non-compliance by the RTO with the VET Funding Contract, the Department may, in its absolute discretion:
a) exercise any of its rights under Clauses 17 or 18; or
b) require the RTO to:
i) provide a written response to the Department on any matter relating to the audit or review in accordance with the Department's requirements;
ii) take all reasonable steps, to the Department's satisfaction, to prevent future instances of non-compliance with this VET Funding Contract which are identified by an audit or review by implementing a management action plan agreed between the RTO and the Department (or persons acting on behalf of or enga...
AUDIT OR REVIEW. 11.1. The RTO acknowledges that, during the Term:
a) the Commission (or persons authorised by the Commission) may conduct an audit of the RTO at any reasonable time:
i. in order to confirm whether the RTO is complying with this Agreement;
ii. in order to establish whether and to what extent the Funds have been used for the provision of the Training Services to Eligible Individuals;
iii. in order to investigate allegations or suspected misuse of the Funds; and/or
iv. if applicable, as part of the Commission’s Audit and Risk Committee’s Internal Audit Plan. This clause 11.1 continues despite any expiry or termination of the Agreement.
11.2. The RTO must provide the Commission (or persons authorised by the Commission) with all assistance needed to perform the audit, including providing access to office space, telephones and photocopy facilities at the RTO’s premises.
AUDIT OR REVIEW. 11.1. The RTO acknowledges that:
a) the Commission or Department (or persons authorised by the Commission or Department) may conduct an audit or review of the RTO at any reasonable time:
i) in order to confirm whether the RTO is complying with this Agreement;
ii) in order to establish whether and to what extent the Funds have been used for the provision of the Training Services to Eligible Individuals;
iii) in order to investigate allegations or suspected misuse of the Funds; and/or
iv) if applicable, as part of the Commission’s Audit and Risk Committee’s Internal Audit Plan.
11.2. For the avoidance of doubt, whether the time of an audit or review under Clause 11.1 is reasonable may be informed by timing considerations connected to the Commission's need to ensure the proper administration of the Agreement and the Funds.
11.3. The RTO must provide the Commission or Department (or persons authorised by the Commission or Department) with all assistance needed to perform the audit or review, including providing access to office space, telephones and photocopy facilities at the RTO’s premises.
AUDIT OR REVIEW. Any payment is subject to appropriate adjustment if an audit or review demonstrates insufficient or inappropriate documentation to support a claims notification submitted to the Department. The Provider Pay-for-Performance (P4P) program described in this Exhibit B (3) is for services rendered by providers during a Calendar Year (CY) and defined in your PH- MCO specific Quality Performance Program approved by the Department
AUDIT OR REVIEW. Any payment is subject to appropriate adjustment if an audit or review demonstrates insufficient or inappropriate documentation to support a claims notification submitted to the Department. Federal HC Agreements 13-14 Amendment - NW & NE Updated October 21, 2013 The Department will establish, administer, and distribute funds from a quarterly High Cost Risk Pool (HCRP). This Appendix 3k is effective July 1, 2013 and supersedes any previous version to define the HCRP for the July-September 2013 quarter and each subsequent quarter. Each quarterly risk pool will be funded through High Cost Risk Pool Allocation Amounts (HCRPAA). After each quarter has ended, each PH-MCO will send the Department a file with information on high cost recipients during a twelve month period defined below. After repricing each inpatient claim to the amount the Department would have paid for the same admission, the Department will sum the amount spent by each PH-MCO in excess of the HCRP Threshold on each recipient for the Defined Twelve Month Period. The Department will distribute the funds in the HCRP in proportion to each PH-MCO’s adjusted expenditures in excess of the HCRP Threshold on all recipients for the Defined Twelve Month Period. The Department’s payment to each PH-MCO will be net of the PH-MCO’s HCRPAA obligation for the quarter. If the PH-MCO’s HCRPAA obligation exceeds its share of the HCRP, the Department will reduce a subsequent payment to the PH-MCO by the amount of the difference. The Department may elect to use PH-MCO encounter data in lieu of HCRP- specific files submitted by the MCOs, in whole or in part. The HCRP Threshold is $80,000. A PH-MCO will participate in a quarterly high cost risk pool if both of the criteria below are met: The Department has made or will make Capitation payments to the PH-MCO for this HealthChoices zone for all three months during the quarter; and The Department has made or will make Capitation payments to the PH-MCO under this Agreement or any other HealthChoices Agreement for this HealthChoices zone for all three months of each of the four previous quarters. The Department will deem this criterion to have been met if it was met by the PH- MCO or by a PH-MCO that operated in the same HealthChoices zone (“Previous PH-MCO”) if one of the following criteria is met: The current PH-MCO purchased the assets or liabilities of the Previous PH- MCO; or The Department transferred substantially all of the Recipients enrolled in the Previ...
AUDIT OR REVIEW. 10.1. The Department (or persons authorised by the Department) may conduct an audit or review of the RTO at any reasonable time:
a) to confirm whether the RTO is complying with this VET Funding Contract;
b) to establish whether and to what extent the Funds have been used for the provision of the Training Services to Eligible Individuals;
c) to investigate allegations or suspected misuse of the Funds; to determine the extent to which the Training Services delivered by the RTO are of high quality; and/or
AUDIT OR REVIEW. 9.1 The Commission or persons authorised by the Commission may conduct a performance review or audit of the Board/Council at any reasonable time:
a) if the performance of the Board/Council gives rise to reasonable concerns of the Commission;
b) to establish or investigate the Board/Council’s financial viability where the Funds comprise a significant proportion of the Board/Council’s total budget;
c) to investigate allegations or suspected misuse of the Funds;
d) to establish whether Funds have been applied to the Services and/or e) as part of the Commission’s Audit and Risk Committee’s Internal Audit Plan.
9.2 The Board/Council agrees to:
a) co-operate with the Commission in relation to the conduct of any such audit or performance review;
b) permit the Commission or authorised persons to enter its premises and areas within those premises that are used for the Services, whenever the Services are being performed and otherwise at all reasonable times; and
c) assist and ensure that any sub-contractor engaged by the Board/Council assists, as requested by the Commission or authorised persons, with audits under this clause 9.
AUDIT OR REVIEW. The Managers may select public accountants with expertise in the Company’s business to audit or review the books and records of the Company.
AUDIT OR REVIEW. Manager and Developer shall hire a firm of independent certified public accountants of recognized standing in the restaurant industry to review the assets employed in the operation of the Restaurants and the liabilities incurred in connection therewith and the results of the operations, and cash flows of the Restaurants during each year of this Agreement.
AUDIT OR REVIEW. Any payment is subject to appropriate adjustment if an audit or review demonstrates insufficient or inappropriate documentation to support a claims notification submitted to the Department. Federal HC Agreements 13-14 Amendments Updated November 20, 2012 OVERVIEW OF METHODOLOGIES FOR RATE SETTING AND DETERMINATION OF RISK SHARING WITHHOLD AMOUNTS
I. Rate Setting Methodology #1 – Use of Historical Fee-For-Service Data