Common use of Narrative Results Clause in Contracts

Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇’s claim submission system(s), including the identification, by position description, of the personnel involved in claim submission, and (b) a description of controls in place to ensure that all prescription drugs billed to Medicare or a state Medicaid program by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ are dispensed and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription records. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. 1 i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇APS’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare, Medicare Managed Care, Medicaid Managed Care, or a state Medicaid program by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ APS are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇MPG’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or Medicare, a state Medicaid program program, or TRICARE by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ MPG are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ . ▇▇▇▇▇▇▇▇’s claim submission ’▇ billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or a state Medicaid program by ▇▇▇▇▇ . ▇▇▇▇▇▇▇▇ are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇OGCC’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare a Medicare, state Medicaid, or a state Medicaid Managed Care program by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ OGCC are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇I&L’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs billed to Medicare or a state Medicaid program by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ I&L are dispensed and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy I&L maintains documentation of such prescription records. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ . ▇▇▇▇▇▇▇▇▇▇-AFAS’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or a state Medicaid program by ▇▇▇▇▇ . ▇▇▇▇▇▇▇▇ are dispensed and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription records-AFAS are medically necessary and appropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇Bhayani’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or Medicare, a state Medicaid program program, or any Medicaid managed care organization by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Bhayani are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇GLML’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare a Medicare, state Medicaid, or a state Medicaid Managed Care program by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ GLML are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇. ▇▇▇ ▇▇▇▇▇▇▇▇and Interventional Cardiology’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or a state Medicaid program by ▇▇. ▇▇▇ ▇▇▇▇▇▇▇▇ and Interventional Cardiology are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇Dr. Muttath’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or a state Medicaid program by ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇Dakwa’s claim submission and HEAG’s billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or a state Medicaid program by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ are dispensed covered, medically necessary, and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ . ▇▇▇▇▇▇▇▇’s claim submission ’▇ billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or a state Medicaid program by ▇▇▇▇▇ ▇▇. ▇▇▇▇▇▇ are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇Dr. Uradu and UTC’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or a state Medicaid program by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Dr. Uradu and UTC are dispensed medically necessary and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇’s claim submission ’▇ billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs billed to Medicare or a state Medicaid program by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ are dispensed and billed in accordance with a valid prescription and that ▇▇▇▇▇▇ Pharmacy maintains documentation of such prescription records. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.

Narrative Results. ‌‌ i. For the first Quarterly Claims Review Report only, a description of (a) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇DLDC’s claim submission billing and coding system(s), including the identification, by position description, of the personnel involved in claim submissioncoding and billing, and (b) a description of controls in place to ensure that all prescription drugs items and services billed to Medicare or a state Medicaid program by ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ DLDC are dispensed medically necessary, medically appropriate, and billed in accordance with a valid prescription and that ▇▇▇▇▇ Pharmacy maintains documentation of such prescription recordsappropriately documented. Subsequent Quarterly Claims Review Reports should describe any significant changes to items (a) and (b) or, if no significant changes were made, state that the systems and controls remain the same as described in the prior Quarterly Claims Review Report. ii. A narrative explanation of the results of the Quarterly Claims Sample, including reasons for errors, patterns noted, etc.