Population

Population. All Items for which LifePoint has submitted a code or line item and for which LifePoint has received reimbursement from the Medicare program (i.e., a Paid Claim) during the six-month period covered by the DRG or Laboratory Claims Review. To be included in the Population, an Item must have resulted in at least one Paid Claim.

Population. The Population shall be defined as all Paid Claims for Group 2 and Group 3 pressure reducing support surfaces during the 12-month period covered by the Claims Review.

Population. The Population shall be defined as all Paid Claims for the Subject Facilities during the 12-month period covered by the Claims Review.

Population. The Population shall be defined as all Paid Claims during the 12-month period covered by the Claims Review. In OIG's discretion, OIG may limit the Population to one or more subset(s) of Paid Claims to be reviewed and shall notify UHS and the IRO of its selection of the Population at least 30 days prior to the end of each Reporting Period. UHS, or its IRO on behalf of UHS, may submit proposals identifying suggestions for the subset(s) of Paid Claims to be reviewed at least 90 days prior to the... end of each Reporting Period. In connection with limiting the Population, OIG may consider (1) proposals submitted by UHS or its IRO, (2) information furnished to OIG regarding the results of UHS's internal risk assessment and internal auditing, or (3) information provided by the Independent Monitor. The determination of whether, and in what manner, to limit the Population shall be made at the sole discretion of OIG. View More

Population. The Population shall be defined as all Paid Claims during the 12-month period covered by the Claims Review.