Billing Compliance. Group shall ensure that all billing and coding for professional services furnished by Group to ED Patients is in compliance with applicable laws and regulations, customary professional practice, the Federal Health Care Programs, and other third party payor programs, whether public or private. Group shall adopt and maintain billing and coding compliance policies and procedures to ensure Group’s compliance with applicable laws and regulations, including laws and regulations under the Federal Health Care Programs. Hospital shall have reasonable access to Group’s records in order to ensure Group’s compliance with this Agreement. Group shall promptly correct any billing errors documented by Hospital.
Billing Compliance. Contractor shall comply with all applicable Laws, including those of the Federal Health Care Programs, customary professional practice, and other third party payor programs, whether public or private, in connection with billing and coding for Physician Services provided pursuant to this Agreement. Contractor shall adopt and maintain billing and coding compliance policies and procedures to ensure Contractor’s compliance with applicable Laws, including those of the Federal Health Care Programs. Hospital shall have reasonable access to Contractor’s records in order to assure Contractor’s compliance with this Agreement.
Billing Compliance. 4.1. All billing information submitted by Customer shall be accurate, true and correct and not in violation of any federal, state or local law, code, regulation, ordinance or other applicable authority, including the terms of payment required by third-party payors. Notwithstanding anything herein to the contrary, the parties acknowledge that Company shall have final authority and absolute discretion to determine the appropriate coding and manner of billing for the technical component of Remote Monitoring Services rendered under this Exhibit.
Billing Compliance. All bxxxxxxx by Seller for the Business as currently conducted for laboratory services rendered and marketing practices in connection therewith, including, without limitation, bxxxxxxx to all Government Healthcare Programs, private individuals or patients, private or commercial third-party payors, have been true and correct and in compliance with all applicable Laws and applicable reimbursement policies and guidance, in each case in all material respects.
Billing Compliance. Buyer shall be reasonably satisfied with the results of an audit conducted by its compliance consultant regarding the compliance of Seller’s billing practices for government payors.
Billing Compliance. Except as would not reasonably be expected to have a Material Adverse Effect, the Company and its subsidiary meet all applicable Health Care Program requirements and conditions of participation and are a party to valid participation or other agreements required for payment by such Health Care Programs. Except as would not reasonably be expected to have a Material Adverse Effect, all billing, claims, reporting and documentation practices of the Company and its subsidiary are in compliance and have been in compliance with all Health Care Laws and legally enforceable Health Care Program requirements. Except as would not reasonably be expected to have a Material Adverse Effect, or except as has been cured by the Company, during the last three years, neither the Company nor its subsidiary has billed, received or retained any payment or reimbursement in violation of applicable Health Care Laws or legally enforceable Health Care Program requirements. Except as disclosed in the Registration Statement, the Pricing Disclosure Package and the Prospectus (including unpaid amounts set forth in accounts receivable), there are no pending recoupments, appeals, or challenges in excess of $500,000 with respect to any bxxxxxxx or claims submissions. No audit, investigation, validation review or program integrity review related to the Company or its subsidiary has been conducted by any Health Care Program or governmental authority within the past three years that would, individually or in the aggregate, reasonably be expected to have a Material Adverse Effect. For purposes of this Agreement, “Health Care Program” means any health care insurance and other similar programs under which the Company or its subsidiary are directly or indirectly receiving payments, including any federal or state healthcare program, Medicare, Medicaid, the Tricare program, the Veterans Health Administration, private or commercial insurance programs, third-party administrators, preferred provider organizations, managed care organizations, health maintenance organizations, health plans, self-insured health plans, or any fiscal intermediary or contractor of any of the foregoing.
Billing Compliance. Practitioner shall ensure that all billing and coding for professional services furnished by Practitioner to ED Patients is in compliance with applicable laws and regulations, customary professional practice, the Federal Health Care Programs, and other third party payor programs, whether public or private. Practitioner shall adopt and maintain billing and coding compliance policies and procedures to ensure Practitioner’s compliance with applicable laws and regulations, including laws and regulations under the Federal Health Care Programs. Hospital shall have reasonable access to Practitioner’s records in order to ensure Practitioner’s compliance with this Agreement. Practitioner shall promptly correct any billing errors documented by Hospital.
Billing Compliance. UCSF shall use its best efforts to comply with all applicable laws, including those of the federal health care programs, customary professional practice, and other third-party payor programs, whether public or private, in connection with billing and coding for Professional Services provided pursuant to this Agreement. UCSF and Hospital shall cooperate in good faith to resolve any billing issues that arise under the Agreement. UCSF shall bill patients and/or appropriate third-party payors in a timely manner.
