Coding Requirements. Provider shall follow Company’s requirements and guidelines for Claims coding and processing that are specific to each provider type. Company shall notify Provider ninety (90) days before implementing changes to Claims coding and processing guidelines applicable to Provider. The State and HHS may inspect and audit any financial records of Company, Provider or its subcontractors. There shall be no restrictions on the right of the state or federal government to conduct whatever inspections and audits are necessary to assure quality, appropriateness or timeliness of services and reasonableness of their costs.
Appears in 3 contracts
Sources: Ancillary Agreement, Physician Group Agreement, Hospital Services Agreement