Program Integrity definition
Examples of Program Integrity in a sentence
The SIU Manager shall report to the Compliance Officer and meet with the OMPP Program Integrity (OMPP PI) Unit at a minimum of quarterly or more frequently as directed by the OMPP PI Unit.
The Compliance Officer shall meet with the OMPP Program Integrity Unit on a quarterly basis.
Processes for verifying services with members shall be included in the Contractor’s Program Integrity Plan.
The Contractor shall immediately inform the OMPP Program Integrity Unit via a written communication should it disenroll, terminate or deny provider enrollment or credentialing for “program integrity” reasons (i.e., the detection and investigation of fraud and abuse).
The Contractor is required to disclose to the OMPP Program Integrity Unit information required by 42 CFR 455.106 regarding the Contractor’s staff and person with an ownership/controlling interest in the Contractor that have been convicted of a criminal offense related to that person’s involvement in Medicare, Medicaid or Title XX programs.