Narrative Results. i. A description of Provider’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing. ii. A description of controls in place at Provider to ensure that all items and services furnished by Provider are correctly coded, appropriately documented, and medically necessary. iii. A narrative explanation of the results of the IRO’s review of the Claims Review Sample, including an explanation of all errors identified by the IRO.
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Narrative Results.
i. A description of Provider’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing.
ii. A description of controls in place at Provider to ensure that all items and services furnished by Provider are correctly coded, appropriately documented, and medically necessary.
iii. A narrative explanation of the results of the IRO’s review of the Claims Review Sample, including an explanation of all errors identified by the IRO.
Appears in 1 contract
Sources: Corporate Integrity Agreement
Narrative Results.
i. A description of ProviderPractitioner’s billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing.
ii. A description of controls in place at Provider Practitioner to ensure that all items and services furnished by Provider Practitioner are correctly coded, appropriately documented, and medically necessary.
iii. A narrative explanation of the results of the IRO’s review of the Claims Review Sample, including an explanation of all errors identified by the IRO.
Appears in 1 contract
Sources: Integrity Agreement
Narrative Results. i. A description of Provider’s the Providers’ billing and coding system(s), including the identification, by position description, of the personnel involved in coding and billing.
ii. A description of controls in place at Provider to ensure that all items and services furnished by Provider are correctly coded, appropriately documented, and medically necessary.
iii. A narrative explanation of the IRO’s findings and supporting rationale (including reasons for errors, patterns noted, etc.) regarding the Claims Review, including the results of the IRO’s review Discovery Sample, and the results of the Claims Review Sample, including an explanation of all errors identified by the IROFull Sample (if any).
Appears in 1 contract
Sources: Corporate Integrity Agreement