Specific Training. Within 90 days after the Effective Date, each Relevant Covered Person shall receive at least four hours of Specific Training in addition to the General Training required above. This Specific Training shall include a discussion of: a. the Federal health care program requirements regarding the accurate coding and submission of claims; b. policies, procedures, and other requirements applicable to the documentation of medical records; c. the personal obligation of each individual involved in the claims submission process to ensure that such claims are accurate; d. applicable reimbursement statutes, regulations, and program requirements and directives; e. if appropriate, the policies and procedures set forth in Section III.B.3 above; f. the legal sanctions for violations of the Federal health care program requirements; g. examples of proper and improper claims submission practices; and h. such other topics that will enable the Relevant Covered Person to use internal HealthSouth procedures and systems to perform his or her job responsibilities effectively and in conformance with Federal health care program requirements. New Relevant Covered Persons shall receive this training within 30 days after the beginning of their employment or becoming Relevant Covered Persons, or within 90 days after the Effective Date, whichever is later. A HealthSouth employee who has completed the Specific Training shall review a new Relevant Covered Person’s work, to the extent that the work relates to the preparation or submission of claims for reimbursement from any Federal health care program, until such time as the new Relevant Covered Person completes his or her Specific Training. Corporate Integrity Agreement HealthSouth Corporation After receiving the initial Specific Training described in this Section, each Relevant Covered Person shall receive at least four hours of Specific Training annually. Specific Training that meets the requirements of this Section III.C.3 and that was provided to Relevant Covered Persons during the twelve months immediately preceding the execution of this CIA may be credited towards the training time requirements of this Section, provided that HealthSouth shall update such training with respect to the new policies and procedures required by Paragraphs III.B.3.a through III.B.3.e, above.
Appears in 1 contract
Specific Training. Within 90 120 days after of the Effective Dateeffective date of this CIA, each Covered Person who works primarily in the Corporate Quality Assurance and Billing Departments and is involved in the preparation or submission of claims for reimbursement (including cost reports or equivalent reporting mechanisms) from any Federal health care program (hereinafter referred to as "Relevant Covered Person Persons") shall receive at least four 6 hours of Specific Training specific training in addition to the General Training general training required above. This Specific Training specific training shall include a discussion of:
a. the submission of accurate bills for services rendered to Federal health care program requirements regarding the accurate coding and submission of claimspatients;
b. policies, procedures, procedures and other requirements applicable to the documentation of medical records;
c. the personal obligation of each individual involved in the claims submission billing process to ensure that such claims ▇▇▇▇▇▇▇▇ are accurate;
d. applicable reimbursement statutes, regulations, and program requirements and directives;
e. if appropriate, the policies and procedures set forth in Section III.B.3 above;
f. the legal sanctions for violations of the Federal health care program requirements;improper ▇▇▇▇▇▇▇▇; and
g. f. examples of proper and improper claims submission billing practices; and
h. such other topics that will enable . All training materials shall be made available to OIG, upon request. Persons providing the Relevant Covered Person training must be knowledgeable about the proper coding and billing for services rendered to use internal HealthSouth procedures and systems to perform his or her job responsibilities effectively and in conformance with Federal health care program requirementsbeneficiaries. If Tender Loving Care has provided specific training that satisfies the requirements set forth above in Section III.C.2 to Relevant Covered Persons within one hundred and twenty (120) days prior to the Effective Date of this CIA, OIG shall credit that training for purposes of satisfying Tender Loving Care's specific training obligations for the first year of this CIA. New Relevant Covered Persons shall receive this training within 30 days after of the beginning of their employment or becoming Relevant Covered Persons, Persons or within 90 120 days after of the Effective Dateeffective date of PPS, whichever is later. A HealthSouth Tender Loving Care employee who has completed the Specific Training specific training shall review a new Relevant Covered Person’s 's work, to the extent that the work relates to the preparation or submission of claims for reimbursement from any Federal health care program, until such time as the new Relevant Covered Person completes his or her Specific Training. Corporate Integrity Agreement HealthSouth Corporation After receiving the initial Specific Training described in this Section, each Relevant Covered Person shall receive at least four hours of Specific Training annually. Specific Training that meets the requirements of this Section III.C.3 and that was provided to Relevant Covered Persons during the twelve months immediately preceding the execution of this CIA may be credited towards the training time requirements of this Section, provided that HealthSouth shall update such training with respect to the new policies and procedures required by Paragraphs III.B.3.a through III.B.3.e, aboveapplicable training.
Appears in 1 contract
Sources: Corporate Integrity Agreement (Tender Loving Care Health Care Services Inc/ Ny)
Specific Training. Within 90 days after the Effective Date, each Relevant Covered Person shall receive at least four hours of Specific Training in addition to the General Training required above. This Specific Training shall include a discussion of:
a. the all Federal health care program requirements regarding relevant to the accurate coding proper methods for selling, marketing, promoting, and submission providing information about InterMune’s products, including, but not limited to, the requirements of claimsthe Federal anti-kickback statute; the Civil Monetary Penalties Law; the civil False Claims Act; and the Medicaid Drug Rebate statute;
b. policiesall applicable FDA requirements relevant to promotion, proceduresmarketing, research (including clinical trials), and other dissemination of information about InterMune’s products including but not limited to, the requirements applicable to of the documentation of medical recordsFederal Food, Drug, and Cosmetic Act and FDA regulations;
c. the personal obligation of each individual Relevant Covered Person involved in the claims submission process Product Services Related Functions to ensure that such claims are accuratecomply with all applicable legal requirements;
d. applicable reimbursement statutes, regulations, and program requirements and directives;
e. if appropriate, the policies and procedures set forth in Section III.B.3 above;
f. the legal sanctions for violations of the Federal health care program requirements;requirements or FDA requirements relating to Product Services Related Functions; and
g. e. examples of proper and improper claims submission practices; and
h. such other topics that will enable the Relevant Covered Person practices relating to use internal HealthSouth procedures and systems to perform his or her job responsibilities effectively and in conformance with Federal health care program requirementsProduct Services Related Functions. New Relevant Covered Persons shall receive this training within 30 days after the beginning of their employment or becoming Relevant Covered Persons, or within 90 days after the Effective Date, whichever is later. A HealthSouth An InterMune employee who has completed the Specific Training shall review a new Relevant Covered Person’s work, to the extent that the work relates to the preparation or submission of claims for reimbursement from any Federal health care programProduct Services Related Functions, until such time as the new Relevant Covered Person completes his or her Specific Training. Corporate Integrity Agreement HealthSouth Corporation To the extent that Specific Training provided to Relevant Covered Persons during the 90 days immediately prior to the execution of this CIA satisfies the requirements of this Section III.C.2, the OIG shall credit the training toward the Specific Training requirements for the first Reporting Period. After receiving the initial Specific Training described in this Section, each Relevant Covered Person shall receive at least four two hours of Specific Training annually. Specific Training that meets the requirements of this Section III.C.3 and that was provided to Relevant Covered Persons during the twelve months immediately preceding the execution of this CIA may be credited towards the training time requirements of this Section, provided that HealthSouth shall update such training with respect to the new policies and procedures required by Paragraphs III.B.3.a through III.B.3.e, abovein each subsequent Reporting Period.
Appears in 1 contract
Specific Training. Within 90 120 days after the Effective Date, each Relevant Covered Person shall receive at least four two hours of Specific Training in addition to the General Training required above. Each Relevant Covered Person shall also receive at least one additional hour of Specific Training during the first Reporting Period. This Specific Training shall include a discussion of:
a. the all Federal health care program requirements regarding relevant to Product Services Related Functions, including, but not limited to, the accurate coding requirements of the Federal anti-kickback statute; the Civil Monetary Penalties Law; the civil False Claims Act; and submission of claimsthe Medicaid Drug Rebate statute;
b. policiesall applicable FDA requirements relevant to Product Services Related Functions, proceduresincluding but not limited to, the requirements of the Federal Food, Drug, and other requirements applicable to the documentation of medical recordsCosmetic Act and FDA regulations;
c. the personal obligation of each individual Relevant Covered Person involved in the claims submission process Product Services Related Functions to ensure that such claims are accuratecomply with all applicable legal requirements;
d. applicable reimbursement statutes, regulations, and program requirements and directives;
e. if appropriate, the policies and procedures set forth in Section III.B.3 above;
f. the legal sanctions for violations of the Federal health care program requirements;requirements or FDA requirements relating to Product Services Related Functions; and
g. e. examples of proper and improper claims submission practices; and
h. such other topics practices relating to Product Services Related Functions. To the extent that will enable the Specific Training provided to Relevant Covered Person Persons during the 90 days immediately prior to use internal HealthSouth procedures and systems to perform his or her job responsibilities effectively and in conformance with Federal health care program requirementsthe execution of this CIA satisfies the requirements of this Section III.C.2, the OIG shall credit the training toward the Specific Training requirements for the first Reporting Period. Corporate Integrity Agreement Jazz Pharmaceuticals, Inc. New Relevant Covered Persons shall receive this training within 30 days after the beginning of their employment or becoming Relevant Covered Persons, or within 90 120 days after the Effective Date, whichever is later. A HealthSouth Jazz employee who has completed the Specific Training shall review a new Relevant Covered Person’s work, to the extent that the work relates to the preparation or submission of claims for reimbursement from any Federal health care programProduct Services Related Functions, until such time as the new Relevant Covered Person completes his or her Specific Training. Corporate Integrity Agreement HealthSouth Corporation After receiving the initial Specific Training described in this Section, each Relevant Covered Person shall receive at least four two hours of Specific Training annuallyin each subsequent Reporting Period. In addition to the Specific Training that meets the requirements of obligations set forth in this Section III.C.3 and that was provided III.2.C, as part of its Compliance Program, Jazz provides additional regular periodic training to Relevant Covered Persons on the topics outlined above in this Section III.C.2. This training shall be known as the “Periodic Compliance Training”. Jazz shall continue to provide Periodic Compliance Training to Relevant Covered Persons during the twelve months immediately preceding term of the execution CIA. Jazz shall include a description of this CIA may the Periodic Compliance Training as part of its Annual Reports, but Jazz shall not be credited towards required to formally track the training time requirements of this Section, provided that HealthSouth shall update such training with respect to the new policies and procedures required by Paragraphs III.B.3.a through III.B.3.e, abovePeriodic Compliance Training for each individual Relevant Covered Person.
Appears in 1 contract
Sources: Corporate Integrity Agreement (Jazz Pharmaceuticals Inc)