Common use of Accurate Billing Clause in Contracts

Accurate Billing. The Provider agrees to certify by the signature of the Provider or designee, including electronic signatures on a claim form or transmittal document, that the items or services claimed were actually provided and medically necessary, were documented at the time they were provided, were provided in accordance with professionally recognized standards of health care, applicable Department rules, this agreement, and are not billed in excess of the Provider's usual and customary fees. The Provider shall be solely responsible for the accuracy of claims submitted, and shall immediately repay the Department for any items or services the Department, the federal government, duly authorized representatives or the provider determines were not properly provided, documented, or claimed. The Provider must assure it is not submitting a duplicate claim under another program or provider type.

Appears in 2 contracts

Samples: Medicaid Program Provider Agreement, Medicaid Provider Agreement

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Accurate Billing. The Provider provider agrees to certify by the signature of the Provider provider or designee, including electronic signatures on a claim form or transmittal document, that the items or services claimed were actually provided and medically necessary, were documented at the time they were provided, were provided in accordance with professionally recognized standards of health care, applicable Department rules, this agreement, and are not billed in excess of the Provider's providers usual and customary fees. The Provider provider shall be solely responsible for the accuracy of claims submitted, and shall immediately repay the Department for any items or services the Department, the federal government, duly authorized representatives or the provider determines were not properly provided, documented, or claimed. The Provider provider must assure it is not submitting a duplicate claim under another program or provider type.

Appears in 1 contract

Samples: Medicaid Program Provider Agreement

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Accurate Billing. The Provider agrees to certify by the signature of the Provider or designee, including electronic signatures on a claim form or transmittal document, that the items or services claimed were actually provided and medically necessary, were documented at the time they were provided, were provided in accordance with professionally recognized standards of health carehealthcare, applicable Department rules, this agreement, and are not billed in excess of the Provider's usual and customary fees. The Provider shall be solely responsible for the accuracy of claims submitted, and shall immediately repay the Department for any items or services the Department, the federal government, duly authorized representatives or the provider determines were not properly provided, documented, or claimed. The Provider must assure it is not submitting a duplicate claim under another program or provider type.

Appears in 1 contract

Samples: Medicaid Program Provider Agreement

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