Common use of Implementation Report Clause in Contracts

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, LFAC Eastern Iowa Dermatology 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) to OIG that includes, at a minimum, includethe following information: 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 Eastern Iowa Dermatology that includes a summary of all current and prior engagements between LFAC Eastern Iowa Dermatology and the IRO; 3. a copy of the search result print screens screen prints demonstrating that LFAC Eastern Iowa Dermatology has screened all Covered Persons against the Exclusion ListLists, as required by Section III.D, within 30 days of the Effective Date; 4. a copy of any certifications from LFAC Eastern Iowa Dermatology and the third-third- party billing company required by Section III.HIII.H (if applicable); 5. a list of all of LFACEastern Iowa Dermatology’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 Eastern Iowa Dermatology that: (a) he or she : a. it has reviewed the IA in its entirety, understands the requirements described within, and maintains a copy for reference; (b) ; b. to the best of his or her its knowledge, except as otherwise described in the Implementation Report, LFAC Eastern Iowa Dermatology is in compliance with all of the requirements of this IA; c. it has reviewed the Implementation Report and has made a reasonable inquiry regarding its content and believes that the information is accurate and truthful; and d. it understands that the certification is being provided to and relied upon by the United States.

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) to OIG that includes, at a minimum, include:the following information:‌ 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;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;IRO;‌ 3. a copy of the search result print screens screen prints demonstrating that LFAC ▇▇▇▇▇▇ has screened all Covered Persons against the Exclusion ListLists, as required by Section III.D, within 30 days of the Effective Date;III.D;‌ 4. a copy of any certifications from LFAC ▇▇▇▇▇▇ and the third-party billing company required by Section III.H;III.H (if applicable);‌ 5. a list of all of LFACKamali’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); andand‌ 6. a certification by LFAC ▇▇▇▇▇▇ that: (a) : a. he or she has reviewed the IA in its entirety, understands the requirements described within, and maintains a copy for reference; (b) 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;IA;‌ c. he has reviewed the Implementation Report and has made a reasonable inquiry regarding its content and believes that the information is accurate and truthful; and‌ d. he understands that the certification is being provided to and relied upon by the United States.‌

Implementation Report. Within 90 days after the Effective Date, LFAC Provider 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) to OIG that includes, at a minimum, include:the following information:‌ 1. the name, business address, business phone number, and position description of the Compliance Contact required by Section III.A, and a detailed description of any noncompliance job responsibilities;‌ 2. a list of the Policies and Procedures required by Section III.B; 3. a copy of the notice required by Section III.AIII.C, a description of where the notice is posted, and the date the notice was postedposted;‌ 4. a description of (a) the Focus Arrangements Tracking System required by Section III.E.1.a, (b) the internal review and approval process required by Section III.E.1.g; and‌‌ (c) the tracking and monitoring procedures and other Focus Arrangements Procedures required by Section III.E.1; 25. 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 that it does not have a prohibited relationship with respect to LFAC Provider (as set forth in Section III.F.3) that includes a summary of all any current and prior engagements relationships between LFAC Provider or its owners and the IRO;IRO;‌ 36. a copy of the search result print screens screen prints demonstrating that LFAC Provider has screened all Covered Persons against the Exclusion List, List as required by Section III.D, within 30 days of the Effective Date;III.G;‌ 4. a copy of any certifications from LFAC and the third-party billing company required by Section III.H; 57. a list of all of LFACProvider’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); andand‌ 68. a certification by LFAC the Compliance Contact and the Chief Executive Officer‌ that: (a) : a. he or she has reviewed the IA in its entirety, understands the requirements described within, and maintains a copy for reference; (b) reference;‌ b. to the best of his or her knowledge, Provider has implemented procedures reasonably designed to ensure that all Focus Arrangements do not violate the Anti-Kickback Statute and ▇▇▇▇▇ Law, including the Focus Arrangements Procedures required in Section III.E of the IA;‌ c. to the best of his or her knowledge, Provider has fulfilled the requirements for new or renewed Focus Arrangements under Section III.E.2 of the IA;‌ d. to the best of his or her knowledge, except as otherwise described in the Implementation Report, LFAC Provider is in compliance with all of the requirements of this IA;IA;‌ e. he or she has reviewed the Implementation Report and has made a reasonable inquiry regarding its content and believes that the information is accurate and truthful; and‌ f. he or she understands that this certification is being provided to and relied upon by the United States.‌

Implementation Report. Within 90 days after the Effective Date, LFAC Saini 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) to OIG that includes, at a minimum, include:the following information:‌ 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;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 Saini that includes a summary of all current and prior engagements between LFAC Saini and the IRO;IRO;‌ 3. a copy of the search result print screens screen prints demonstrating that LFAC ▇▇▇▇▇ has screened all Covered Persons against the Exclusion ListLists, as required by Section III.D, within 30 days of the Effective Date;III.D;‌ 4. a copy of any certifications from LFAC ▇▇▇▇▇ and the third-party billing company required by Section III.H;III.H (if applicable);‌ 5. a list of all of LFACSaini’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); andand‌ 6. a certification by LFAC Saini that: (a) : a. he or she has reviewed the IA in its entirety, understands the requirements described within, and maintains a copy for reference; (b) reference;‌ b. to the best of his or her knowledge, except as otherwise described in the Implementation Report, LFAC Saini is in compliance with all of the requirements of this IA;IA;‌ c. he or she has reviewed the Implementation Report and has made a reasonable inquiry regarding its content and believes that the information is accurate and truthful; and‌ d. he or she understands that the certification is being provided to and relied upon by the United States.‌

Implementation Report. Within 90 days after the Effective Date, LFAC Practitioner 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 Practitioner that includes a summary of all current and prior engagements between LFAC Practitioner and the IRO; 3. a copy of the search result print screens demonstrating that LFAC Practitioner 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 Practitioner and the third-party billing company required by Section III.HIII.H (if applicable); 5. a list of all of LFACPractitioner’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 Practitioner 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 Practitioner is in compliance with all of the requirements of this IA;; (c) he has reviewed the Implementation Report and has made a reasonable inquiry regarding its content and believes that the information is accurate and truthful; and (d) he understands that the certification is being provided to and relied upon by the United States

Implementation Report. Within 90 days after the Effective Date, LFAC Arora 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) to OIG that includes, at a minimum, include:the following information:‌ 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 Arora that includes a summary of all current and prior engagements between LFAC Arora and the IRO;IRO;‌‌‌ 3. a copy of the search result print screens screen prints demonstrating that LFAC ▇▇▇▇▇ has screened all Covered Persons against the Exclusion ListLists, as required by Section III.D, within 30 days of the Effective Date;III.D;‌ 4. a copy of any certifications from LFAC Arora and the third-party billing company required by Section III.H;III.H (if applicable);‌ 5. a list of all of LFACArora’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); andand‌ 6. a certification by LFAC Arora that: (a) : a. he or she has reviewed the IA in its entirety, understands the requirements described within, and maintains a copy for reference; (b) reference;‌ b. to the best of his or her knowledge, except as otherwise described in the Implementation Report, LFAC Arora is in compliance with all of the requirements of this IA;IA;‌ c. he or she has reviewed the Implementation Report and has made a reasonable inquiry regarding its content and believes that the information is accurate and truthful; and‌ d. he or she understands that the certification is being provided to and relied upon by the United States.‌

Implementation Report. Within 90 days after the Effective Date, LFAC ▇▇▇▇▇ Pharmacy 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-third- party billing company required by Section III.HIII.H (if applicable); 5. a list of all of LFAC▇▇▇▇▇ Pharmacy’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 ▇▇▇▇▇ Pharmacy is in compliance with all of the requirements of this IA;; (c) he or she has reviewed the Implementation Report and has made a reasonable inquiry regarding its content and believes that the information is accurate and truthful; and (d) he or she understands that the certification is being provided to and relied upon by the United States