✨ Provider Quality Specifications for Services
4238 NEW ZEALAND GAZETTE No. 151
b. the premises where Services are performed;
c. the premises where the records are kept;
and you agree to allow the auditors to interview any staff and Patients (including the guardian or caregiver of such Patients) to whom you provide Services, for the purposes of carrying out an audit of compliance with the terms of this Notice. Such access will usually be requested on at least 24 hours notice, or a shorter period on reasonable notice.
E4.2 Our right to audit under this Notice continues after this Notice ends but only to the extent that it is relevant to the period during which this Notice was in force.
E4.3 A report on the results of any audit instigated under this Notice will be forwarded to you.
E5 REASONS FOR INSTIGATING AN AUDIT
E5.1 For the purpose of ensuring that provisions of this Notice are met we, or our authorised agents, may perform an audit of your practice in circumstances where we have reason to believe or are made aware of:
a. that you may be in breach of your obligations under this Notice; or
b. any other complaint that, in our opinion, warrants enquiry.
E6 RANDOM AUDITS
E6.1 Each year we, or our authorised agents, will perform a number of random audits of Oral Health Providers. These audits may cover audits of claims or practices of Oral Health Providers or both. The selection of Oral Health Providers for these audits will be undertaken on a random basis. If you are chosen to participate in a random audit you agree to comply with the terms and conditions of this Schedule E.
E7 RECOVERY OF OVERPAYMENTS
E7.1 In the event that an audit identifies that a payment or payments have been inappropriately claimed and paid to you, then these payments may be recovered in accordance with clause C5.
E7.2 We may seek to recover the costs of an audit that identifies payments have been inappropriately claimed by you.
E7.3 We agree not to seek the recovery of costs where the inappropriate claiming is the result of occasional error, oversight or genuine mistake and the total amount inappropriately claimed is of minor consequence.
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2003, No 151
Gazette.govt.nz —
NZ Gazette 2003, No 151
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Provider Quality Specifications for Services
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🏥 Health & Social WelfarePayment terms, Claims processing, Audit requirements, Compliance