Implementation Audits Clause Samples

The Implementation Audits clause establishes the right for one party to review and assess the other party’s compliance with agreed-upon procedures, standards, or deliverables during the execution of a project or contract. Typically, this clause allows for scheduled or ad hoc inspections, access to relevant records, and the ability to verify that work is being performed according to contractual requirements. Its core practical function is to ensure transparency and accountability, helping to identify and address issues early, thereby reducing the risk of non-compliance or substandard performance.
Implementation Audits. The CONTRACTOR/VENDOR shall be responsible for implementing and maintaining the Plan, which may be subject to audit by ALBERICI or their representative, throughout the Contract.
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Implementation Audits. MCIS shall have the right to observe the --------------------- delivery of each Course at all Caliber Campuses and other locations authorized by MCIS offering the Course and to request reasonable changes in the implementation or delivery of the Course to address any problems identified by MCIS.
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Implementation Audits. Wharton shall have the right ------------------------------------- (but not the obligation) to observe the delivery of any Session at any Caliber Site and to request reasonable changes by Caliber in the implementation or Session Delivery to address any problems identified by Wharton.
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Implementation Audits. (i) The Client is entitled to receive up to two (2) implementation audits per contract year. (ii) Each audit shall involve an inspection of the Client’s software implementation to assess efficiency, performance, and adherence to best practices. (iii) The audit shall identify areas for improvement and potential optimization. (iv) The deliverable from each audit shall be a feedback meeting where the Service Provider will present findings and provide an overview of recommendations. (v) The Client shall provide the necessary documentation and access to relevant systems and personnel to conduct the audit effectively.
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Implementation Audits. Implementation reviews are critical to ensuring the system was programmed to reflect the plan provisions and to ensure proper plan design administration and benefit adjudication.  Comparison of plan documents (e.g., SPDs, SBCs, etc.) to system mapping documents – independently validates the interpretation of Plan benefits referenced by system programmers, customer service representatives, and claims processors, benefit and implementation teams. Variances will be discussed with the carrier and/or the Plan to confirm the plan intent has been properly documented.  Adjudication Procedures Review - evaluates day-to-day procedures associated with claims adjudication. This review ensures proper controls and appropriate monitoring of processing activities are in place for accurate and timely benefit administration.  Scenario-Based Plan Design Testing – ▇▇▇▇▇ will review up to 75 claim scenarios. A scenario-based audit a comprehensive way to validate that the adjudication system is coded for proper administration of the plan design and benefit programs.
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Related to Implementation Audits

  • Implementation Report Within 150 days after the Effective Date, Ensign Group shall submit a written report to OIG summarizing the status of its implementation of the requirements of this CIA (Implementation Report). The Implementation Report shall, at a minimum, include: 1. the name, address, phone number, and position description of the Compliance Officer required by Section III.A, and a summary of other noncompliance job responsibilities the Compliance Officer may have; 2. the names and positions of the members of the Compliance Committee required by Section III.A; 3. the names and positions of the members of the Board of Directors who are responsible for satisfying the Board of Directors compliance obligations described in Section III.A.3; 4. a copy of Ensign Group’s Code of Conduct required by Section III.B.1; 5. the number of individuals required to complete the Code of Conduct certification required by Section III.B.1, the percentage of individuals who have completed such certification, and an explanation of any exceptions (the documentation supporting this information shall be available to OIG upon request); 6. a summary of all Policies and Procedures required by Section III.B (copies of the Policies and Procedures shall be made available to OIG upon request); 7. the following information regarding each type of training required by Section III.C: a. a description of such training, including a summary of the topics covered, the length of sessions, and a schedule of training sessions; b. the number of individuals required to be trained, percentage of individuals actually trained, and an explanation of any exceptions. A copy of all training materials and the documentation supporting this information shall be made available to OIG upon request. 8. a description of the Disclosure Program required by Section III.E; 9. the following information regarding the IRO(s): (a) identity, address, and phone number; (b) a copy of the engagement letter; (c) information to demonstrate that the IRO has the qualifications outlined in Appendix A to this CIA; (d) a summary and description of any and all current and prior engagements and agreements between Ensign Group and the IRO; and (e) a certification from the IRO regarding its professional independence and objectivity with respect to Ensign Group; 10. a description of the process by which Ensign Group fulfills the requirements of Section III.F regarding Ineligible Persons; 11. a list of all of Ensign Group’s locations (including locations and mailing addresses); the corresponding name under which each location is doing business; the corresponding phone numbers and fax numbers; each location’s Medicare and state Medicaid program provider number and/or supplier number(s); and the name and address of each Medicare and state Medicaid program contractor to which Ensign Group currently submits claims; 12. a description of Ensign Group’s corporate structure, including identification of any parent and sister companies, subsidiaries, and their respective lines of business; and

  • Implementation and Review The Parties shall consult annually, or as otherwise agreed, to review the implementation of this Chapter and consider other matters of mutual interest affecting trade in services. (10) 10 Such consultations will be addressed under Article 170 (Free Trade Commission) of Chapter 14 (Administration of the Agreement).

  • Project Implementation Manual The Recipient, through the PCU, shall: (i) take all action required to carry out Parts 1.1, 1.3, 1.4, 2, 3.1(b), 3.2, 3.3 and 4 (ii) of the Project in accordance with the provisions and requirements set forth or referred to in the Project Implementation Manual; (ii) submit recommendations to the Association for its consideration for changes and updates of the Project Implementation Manual as they may become necessary or advisable during Project implementation in order to achieve the objective of Parts 1.1, 1.3, 1.4, 2, 3.1(b), 3.2, 3.3 and 4(ii) of the Project; and (iii) not assign, amend, abrogate or waive the Project Implementation Manual or any of its provisions without the Association’s prior agreement. Notwithstanding the foregoing, if any of the provisions of the Project Implementation Manual is inconsistent with the provisions of this Agreement, the provisions of this Agreement shall prevail and govern.

  • Project Implementation The Borrower shall:

  • Implementation Services Vendor shall provide the Implementation Services, if any, described in Exhibit A. The Services Fees for any Implementation Services shall be described in Exhibit A.