Implementation Report Sample Clauses
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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 ...
Implementation Report. Within 120 days after the Effective Date, Apria 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, business address, business 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 of the Board members who are responsible for satisfying the Board compliance obligations described in Section III.A.3;
4. the names and positions of the Certifying Employees required by Section III.A.4 and a copy of the written process for Certifying Employees to follow in order to complete the certification required by Section III.A.4;
5. a list of the Policies and Procedures required by Section III.B; 6. the Training Plan required by Section III.C.1 and a description of the Board training required by Section III.C.2 (including a summary of the topics covered, the length of the training, and when the training was provided);
Implementation Report. Within 120 days after the Effective Date, VITAS 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 of the Governing Body members who are responsible for satisfying the Governing Body compliance obligations described in Section III.A.3;
4. the names and positions of the Certifying Employees required by Section III.A.4 and a copy of the written process for completing the certifications;
5. a list of the Policies and Procedures required by Section III.B;
Implementation Report. Within 120 days after the Effective Date, RMC 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. a copy of RMC’s Code of Conduct required by Section III.B.1;
4. 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);
5. 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);
6. 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; and
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.
7. a description of the Disclosure Program required by Section III.E;
8. 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 RMC and the IRO; and (e) a certification from the IRO regarding its professional independence and objectivity with respect to RMC;
9. a description of the process by which RMC fulfills the requirements of Section III.F regarding Ineligible Persons;
10. a list of all of RMC’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 numbe...
Implementation Report. Within 90 days after the Effective Date, LFAC shall submit a written report to OIG summarizing the status of its implementation of the requirements of this IA (Implementation Report). The Implementation Report shall, at a minimum, include:
1. a copy of the notice required by Section III.A, a description of where the notice is posted, and the date the notice was posted;
2. the following information regarding the IRO: (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 IA; and (d) a certification from the IRO regarding its professional independence and objectivity with respect to LFAC that includes a summary of all current and prior engagements between LFAC and the IRO;
3. a copy of the search result print screens demonstrating that LFAC has screened all Covered Persons against the Exclusion List, as required by Section III.D, within 30 days of the Effective Date;
4. a copy of any certifications from LFAC and the third-party billing company required by Section III.H;
5. a list of all of LFAC’s locations (including locations and mailing addresses), the corresponding name under which each location is doing business, and each location’s Medicare and state Medicaid program provider number(s), and/or supplier number(s); and
6. a certification by LFAC that: (a) he or she has reviewed the IA in its entirety, understands the requirements described within, and maintains a copy for reference; (b) to the best of his or her knowledge, except as otherwise described in the Implementation Report, LFAC is in compliance with all of the requirements of this IA;
Implementation Report. Within 90 days after the Effective Date, ▇▇▇▇▇▇▇▇▇▇ shall submit a written report to OIG summarizing the status of his implementation of the requirements of this IA (Implementation Report). The Implementation Report shall, at a minimum, include:
1. a copy of the notice ▇▇▇▇▇▇▇▇▇▇ posted in his office as required by Section III.A, a description of where the notice is posted, and the date the notice was posted;
2. the following information regarding the one hour of training required by Section III.B to be completed within 60 days of the Effective Date: a copy of the training program registration for each Covered Person who completed the training, the name of the training course, the name of the entity that provided the training, the location, date and length of the training; and a training program brochure or other materials from the training program or training program sponsor that describe the content of the training program. A copy of all training materials shall be made available to OIG upon request.
3. the following information regarding each IRO: (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 IA; (d) a summary and description of any and all current and prior engagements and agreements between ▇▇▇▇▇▇▇▇▇▇ and the IRO; and (e) a certification from the IRO regarding its professional independence and objectivity with respect to Chatterjee;
4. a copy of the documentation demonstrating that ▇▇▇▇▇▇▇▇▇▇ has screened all Covered Persons against the Exclusion Lists, as required by section III.E, within 30 days of the Effective Date; 5. a copy of any certifications from Chatterjee and the third party billing company required by Section III.I (if applicable);
6. a list of all of ▇▇▇▇▇▇▇▇▇▇’▇ 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 identification number(s), and/or supplier number(s), and the name and address of each Medicare and state Medicaid program contractor to which ▇▇▇▇▇▇▇▇▇▇ currently submits claims;
Implementation Report. Within 90 days after the Effective Date, Ocean Dental 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. a copy of the policies and procedures required by Section III.B.;
3. a copy of the notice Ocean Dental posted in its office as required by Section III.C, a description of where the notice is posted, and the date the notice was posted;
4. the following information regarding the training required by Section III.D: a copy of the training certifications for each Covered Person who completed the training, the name of the training course, the name of the entity that provided the training, the location, date and length of the training; and a training program brochure or other materials from the training program or training program sponsor that describe the content of the training program. A copy of all training materials shall be made available to OIG upon request.
5. the following information regarding the IRO: (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 Ocean Dental and the IRO; and (e) a certification from the IRO regarding its professional independence and objectivity with respect to Ocean Dental;
6. a copy of the documentation demonstrating that Ocean Dental has screened all Covered Persons against the Exclusion Lists, as required by Section III.F within 30 days of the Effective Date;
7. a copy of any certifications from Ocean Dental and the third party billing company required by Section III.J (if applicable);
8. a list of all of Ocean Dental’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 identification number(s), and/or supplier number(s), and the name and address of each Medicare and state Medicaid program contractor to which Ocean Dental currently submits claims; and
Implementation Report. Within 150 days after the Effective Date, Walgreens 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 and Ethics Officer required by Section III.A, and a summary of other noncompliance job responsibilities the Compliance and Ethics Officer may have;
2. the names and positions of the members of the Compliance Committee required by Section III.A;
3. the names of the Audit Committee of the Board members who are responsible for satisfying the Board of Directors compliance obligations described in Section III.A.3;
4. the names and positions of the Certifying Employees required by Section III.A.4, and a copy of the written process for completing the certification required by Section III.A.4;
5. a list of the Policies and Procedures required by Section III.B; Walgreen Co. - Corporate Integrity Agreement
6. the Training Plan required by Section III.C.1 and a description of the Board Member Training required by Section III.C.2 (including a summary of the topics covered, the length of the training, and when the training was provided);
7. 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; and (d) a certification from the IRO regarding its professional independence and objectivity with respect to Walgreens;
8. a description of the risk assessment and internal review process required by Section III.E; 9. a description of the Disclosure Program required by Section III.F; 10. a description of the Ineligible Persons screening and removal process required by Section III.G;
11. a copy of Walgreens’ policies and procedures regarding the identification, quantification and repayment of Overpayments required by Section III.I;
12. a description of Walgreens’ corporate structure, including identification of any parent and sister companies, subsidiaries, and their respective lines of business;
13. a list of all of Walgreens’ locations that perform Covered Functions (including locations and mailing addresses), the corresponding name under which each location is doing business, and the location’s Medicare and state Medicaid program provider number and/or supplier number(s); and
Implementation Report. Within 150 days after the Effective Date, Extendicare 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 Committee required by Section III.A; 4. a description of the Quality of Care Review Program required by Section III.A; 5. a description of the Dashboard required by Section III.A; 6. the names and positions of the members of the Staffing Committee required by Section III.A;
Implementation Report. Within 120 days after the receipt of HHS’ approval of the Policies and Procedures required by section V.A.1., UCLAHS shall submit a written report to HHS and the Monitor summarizing the status of its implementation of the requirements of this CAP. This report, known as the “Implementation Report,” shall include:
1. An attestation signed by an officer of UCLAHS attesting that the Policies and Procedures are being implemented and have been distributed to all appropriate members of the workforce and that UCLAHS has obtained all of the compliance certifications required by sections V.B.2. and V.B.3.;
2. A copy of all training materials used for the training required by this CAP, a description of the training, including a summary of the topics covered, the length of the session(s) and a schedule of when the training session(s) were held;
3. An attestation signed by an officer of UCLAHS attesting that members of the workforce have completed the initial training required by this CAP and have executed the training certifications as required by section V.D.2.;
4. The engagement letter with the Monitor, a summary description of all engagements between UCLAHS and the Monitor, including, but not limited to, any outside financial audits, compliance program engagements, or reimbursement consulting, and the proposed start and completion dates of the first Monitor review;
5. A copy of the certification from the Monitor regarding its professional independence from UCLAHS as required by section V.E.1.;
6. An attestation signed by an officer of UCLAHS listing all UCLAHS locations (including locations and mailing addresses), the corresponding name under which each location is doing business, the corresponding telephone numbers and fax numbers, and attesting that each such location is in compliance with the obligations of this CAP; and
7. An attestation signed by an officer of UCLAHS stating that he or she has reviewed the Implementation Report, has made a reasonable inquiry regarding its content and believes that, upon such inquiry, the information is accurate and truthful.