Common use of Scope of Audits Clause in Contracts

Scope of Audits. Audits may consist of, but are not necessarily limited to, verifications of services provided, Medical Necessity of services provided, and appropriateness of procedure codes and modifiers reported to BCBSM for the services rendered.

Appears in 1 contract

Sources: Direct Reimbursement Participation Agreement

Scope of Audits. Audits may consist of, but are not necessarily limited to, verifications of services provided, Medical Necessity of services provided, and appropriateness of procedure codes and modifiers reported to BCBSM for the services rendered.

Appears in 1 contract

Sources: Provider Participation Agreement

Scope of Audits. Audits may consist of, but are not necessarily limited to, verifications verification of services provided, adherence to BCBSM policies, Medical Necessity of services provided, and appropriateness of procedure procedure/revenue codes and modifiers reported to BCBSM for the services rendered.

Appears in 1 contract

Sources: Skilled Nursing Facility Participation Agreement