Common use of Audit Risk Clause in Contracts

Audit Risk. a. In the case that Contractor-provided services are billed by the County to Medi-Cal, Contractor agrees to accept the risk for Medi-Cal exceptions related to deficiencies in documentation or any other areas of responsibility to County, to the extent allowed by law. Contractor further agrees to be responsible for reimbursing County for any revenues to be paid to the state or federal government, including but not limited to exceptions resulting from Medi-Cal audit, or as identified through utilization review and medical review by insurance carriers or other auditors. Said reimbursements shall include all lost revenues, damages of any kind, costs and attorney fees incurred by the County, and other charges assessed against the County to the fullest extent allowed by law. b. Furthermore, pursuant to County Provider Problem Resolution & Appeal Processes (Outpatient), County shall provide Contractor a process for appealing or disputing Medi- Cal exceptions or deficiencies, as referenced above, which County can specifically attribute to Contractor. Reimbursement to the County by Contractor shall not be required until the completion of the appeal or dispute resolution process. c. County may deduct any such funds from other payments to Contractor if County includes a description of the basis for the deduction with its payment.

Audit Risk. a. In the case that Contractor-provided services are billed by the County to Medi-Cal, Contractor agrees to accept the risk for Medi-Cal exceptions related to deficiencies in documentation or any other areas of responsibility to County, County to the extent allowed by law. Contractor further agrees to be responsible for reimbursing County for any revenues to be paid to the state State or federal Federal government, including but not limited to exceptions resulting from Medi-Cal audit, or as identified through utilization review and medical review by insurance carriers or other auditors. Said reimbursements shall include all lost revenues, damages of any kind, costs and attorney fees incurred by the County, and other charges assessed against the County to the fullest full extent allowed by law. b. Furthermore, pursuant to as per County Provider Problem Resolution & Appeal Processes (Outpatient), County shall provide Contractor a process for appealing or disputing Medi- Medi-Cal exceptions or deficiencies, as referenced above, which County can deficiencies demonstrated specifically attribute attributable to ContractorContractor by the County. Reimbursement to the County by Contractor shall not be required until the completion of the appeal or dispute resolution process. c. County may deduct any such funds from other payments to Contractor if County includes a description of the basis for the deduction with its payment.