Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Prime shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Prime’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The Compliance Committee shall be responsible for implementation and oversight of the risk assessment and internal review process. The risk assessment and internal review process shall be conducted at least annually and shall require Prime to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Prime shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Sources: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Prime ResMed shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and PrimeResMed’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The Compliance Committee shall be responsible for implementation and oversight of the risk assessment and internal review process. The risk assessment and internal review process shall be conducted at least annually and shall require Prime ResMed to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Prime ResMed shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Sources: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Prime Respironics shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and Prime’s its participation in the Federal health care programs, including but not limited to the Anti-Kickback Statute risks associated with Arrangements and the risks associated with each Government Reimbursed Product, including the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiariesCovered Functions. The Compliance Committee shall be responsible for implementation and oversight of the risk assessment and internal review process. The risk assessment and internal review process shall be conducted at least annually and shall require Prime Respironics to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Prime Respironics shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Sources: Corporate Integrity Agreement
Risk Assessment and Internal Review Process. Within 90 days after the Effective Date, Prime OCOM shall develop and implement a centralized annual risk assessment and internal review process to identify and address risks associated with Arrangements (as defined in Section II.C.1 above) and PrimeOCOM’s participation in the Federal health care programs, including but not limited to the risks associated with the submission of claims for items and services furnished to Medicare and Medicaid program beneficiaries. The Compliance Committee shall be responsible for implementation and oversight of the risk assessment and internal review process. The risk assessment and internal review process shall be conducted at least annually and shall require Prime OCOM to: (1) identify and prioritize risks, (2) develop internal audit work plans related to the identified risk areas, (3) implement the internal audit work plans, (4) develop corrective action plans in response to the results of any internal audits performed, and (5) track the implementation of the corrective action plans in order to assess the effectiveness of such plans. Prime OCOM shall maintain the risk assessment and internal review process for the term of the CIA.
Appears in 1 contract
Sources: Corporate Integrity Agreement