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PROVIDER AND FRONTIER, DOWNSTREAM AND RELATED ENTITIES (FDR) ANNUAL COMPLIANCE ATTESTATION Farewell New York, LLC is fully committed to complying with all applicable Federal and State health care
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Start by gathering all the necessary information about the provider and first-tier downstream.
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Double-check the accuracy of all the provided data to avoid any errors or issues later on.
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Outline any contractual agreements or obligations that exist between your organization and the provider and first-tier downstream.
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Provide accurate information regarding any financial transactions or agreements involved.
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Specify the payment terms, billing procedures, and any related details.
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Disclose any potential conflicts of interest or financial disclosures required.
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Note: The specific individuals or departments within an organization that require provider and first-tier downstream information may vary depending on internal policies and procedures.
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Provider refers to the entity that supplies goods or services. First-tier downstream refers to the entity that receives goods or services directly from the provider.
Entities that supply goods or services (providers) and entities that receive goods or services directly from the provider (first-tier downstream) are required to file provider and first-tier downstream information.
Provider and first-tier downstream information should be filled out accurately and completely on the designated forms provided by the regulatory authority.
The purpose of provider and first-tier downstream reporting is to track the flow of goods and services between entities to ensure compliance with regulations and to promote transparency.
Information such as entity names, addresses, contact information, goods or services supplied/received, and any relevant identifiers must be reported on provider and first-tier downstream forms.
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