Common use of AUDIT OR REVIEW Clause in Contracts

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