Audit Review. Where the physician disagrees with the Audit Result, the physician may, within twenty (20) days of receipt of the findings, contact MSI in writing to initiate the Audit Review (Notice of Audit Review). The Notice will include the basis for the disagreement and provide documentation, including all relevant clinical documentation, to support that position. If the physician fails to provide the Notice to MSI within twenty days, the physician is deemed to agree with the Audit Result and forfeits further rights to Audit Review, Facilitated Resolution, or Arbitration, and in addition to any other remedy available, DHW may recover any amount found owing from future payments to the physician.
Appears in 2 contracts
Sources: Physician Agreement, Physician Agreement