Error Rate Clause Samples

Error Rate. Seller shall at all times maintain an Error Rate as set forth in the Pricing Side Letter.

Error Rate. The Error Rate shall be the percentage of net Overpayments identified in the sample. The net Overpayments shall be calculated by subtracting all underpayments identified in the sample from all gross Overpayments identified in the sample. (Note: Any potential cost settlements or other supplemental payments should not be included in the net Overpayment calculation. Rather, only underpayments identified as part of the Discovery Sample shall be included as part of the net Overpayment calculation.) The Error Rate is calculated by dividing the net Overpayment identified in the sample by the total dollar amount associated with the Paid Claims in the sample.

Error Rate. Although the Contractor shall submit the case file to the SFWIB electronically only, the Contractor shall maintain a hard copy for prior years’ case files and electronic copy (all new case files) of each participant case file and maintain, at all times, a file maintenance error rate of not more than three percent (3%). Error Rate is defined as the percentage of findings from the quality assurance review of sampled programmatic participant files, utilizing the Supervisory Quality Assurance Case Reviews tool that can be accessed through the link provided below: Failure to strictly comply with this provision shall result in financial consequences as set forth in

Error Rate. The percentage of features that Data Hub, EGDMS, and CAPCOG quality control reports indicate have critical or significant errors, or that do not match a related database.

Error Rate. The Error Rate for the Admissions Review shall be the percentage of Medicare beneficiaries in the Admissions Review determined to be ineligible for the hospice benefit. The Error Rate for the Long Length of Stay Review shall be the percentage of Medicare beneficiaries in the Long Length of Stay determined to be ineligible for the hospice benefit.

Error Rate. The ratio of total number ofpercentage of features that have been assessed as having a critical error, significant error, or as not matching a related database. errors to total number of features (records) within a specific data layer, or in aggregate for a defined geographic area

Error Rate. The Error Rate shall be the percentage of net Overpayments identified in the sample. The net Overpayments shall be calculated by subtracting all underpayments identified in the sample from all gross Corporate Integrity Agreement between the Office of Inspector General and Sorkin’s Rx Ltd. d/b/a CareMed Pharmaceutical Services Overpayments identified in the sample. (Note: Any potential cost settlements or other supplemental payments should not be included in the net Overpayment calculation. Rather, only underpayments identified as part of the Discovery Sample shall be included as part of the net Overpayment calculation.)

Error Rate. The percentage of features that have been assessed as having a critical error, significant error, or as not matching a related database.

Error Rate. The percentage of Third-Party Liability Claims randomly selected by the IRO for review that were improperly rejected (i.e., no valid basis for rejecting the Third-Party Liability Claim) or paid in an incorrect amount. For purposes of determining an Error Rate, a Third-Party Liability Claim that contains an incorrect rejection reason or code, but that would have otherwise been appropriately rejected due to another reason that can be verified, does not constitute an “improperly rejected” Third-Party Liability Claim.