Common use of Substantial Overpayment Clause in Contracts

Substantial Overpayment. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions, or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;‌ b. the Federal health care programs affected by the Reportable Event;‌ c. a description of the steps taken by [Practitioner] to identify and quantify the Overpayment; and‌ d. a description of [Practitioner]’s actions taken to correct the Reportable Event and prevent it from recurring.‌ Within 60 days of identification of the substantial Overpayment, [Practitioner] shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Sources: Integrity Agreement

Substantial Overpayment. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions, or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;‌ b. the Federal health care programs affected by the Reportable Event;‌Event; c. a description of the steps taken by [Practitioner] ▇▇. ▇▇▇▇▇▇ to identify and quantify the Overpayment; and‌and d. a description of [Practitioner]’s ▇▇. ▇▇▇▇▇▇’▇ actions taken to correct the Reportable Event and prevent it from recurring.‌ recurring. Within 60 days of identification of the substantial Overpayment, [Practitioner] ▇▇. ▇▇▇▇▇▇ shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Sources: Integrity Agreement

Substantial Overpayment. The report to OIG shall include: a. a complete description of all details relevant to the Reportable Event, including, at a minimum, the types of claims, transactions, or other conduct giving rise to the Reportable Event; the period during which the conduct occurred; and the names of individuals and entities believed to be implicated, including an explanation of their roles in the Reportable Event;‌ b. the Federal health care programs affected by the Reportable Event;‌ c. a description of the steps taken by [Practitioner] Practitioner to identify and quantify the Overpayment; and‌ d. a description of [Practitioner]’s actions taken to correct the Reportable Event and prevent it from recurring.‌ Within 60 days of identification of the substantial Overpayment, [Practitioner] Practitioner shall repay the Overpayment, in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and CMS guidance, and provide OIG with documentation of the repayment.

Appears in 1 contract

Sources: Integrity Agreement