Fraud and Abuse Matters. Neither the Company nor any Company Subsidiary, nor the officers, directors, employees or agents of any of the Company or any Company Subsidiary, have engaged in any activities which are prohibited, or are cause for civil penalties or mandatory or permissive exclusion from Medicare, Medicaid, or any other State Health Care Program or Federal Health Care Program under Sections 1320a-7, 1320a-7a, 1320a-7b, or 1395nn of Title 42 of the United States Code, the federal CHAMPUS statute, or the regulations promulgated pursuant to such statutes or regulations or related state or local statutes or which are prohibited by any private accrediting organization from which the Company or any Company Subsidiary seeks accreditation or by generally recognized professional standards of care or conduct, including but not limited to the following activities:
(a) knowingly and willfully making or causing to be made a false statement or representation of a material fact in any application for any benefit or payment;
(b) knowingly and willfully making or causing to be made any false statement or representation of a material fact for use in determining rights to any benefit or payment;
(c) presenting or causing to be presented a claim for reimbursement under CHAMPUS, Medicare, Medicaid or any other State Health Care Program or Federal Health Care Program that is (i) for an item or service that the person presenting or causing to be presented knows or should know was not provided as claimed, or (ii) for an item or service and the person presenting knows or should know that the claim is false or fraudulent;
(d) knowingly and willfully offering, paying, soliciting or receiving any remuneration (including any kickback, bribe, or rebate), directly or indirectly, overtly or covertly, in cash or in kind (i) in return for referring, or to induce the referral of, an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part by CHAMPUS, Medicare, Medicaid, or any other State Health Care Program or Federal Health Care Program, or (iii) in return for, or to induce, the purchase, lease, or order, or the arranging for or recommending of the purchase, lease, or order, of any good, facility, service, or item for which payment may be made in whole or in part by CHAMPUS, Medicare, Medicaid or any other State Health Care Program or Federal Health Care Program; or
(e) knowingly and willfully making or causing to ...
Fraud and Abuse Matters. 14 3.10 Medicare/Medicaid Participation.................................................15 3.11 Litigation......................................................................16 3.12
Fraud and Abuse Matters. To the Company's knowledge, the Company, the Medical Groups, and all persons and entities providing services for the Company or the Medical Groups, have not engaged in any activities which are prohibited or could form the basis for criminal penalties, civil monetary penalties or a mandatory or permissive exclusion from the Medicare, Medicaid or other federal and state health care programs under ss. ss. 1320a-7, 1320a-7a, 1320a-7b, or 1395nn of Title 42 of the United States Code, the federal CHAMPUS statute, or any regulations promulgated thereunder, or similar or related federal, state and local statutes, common law or regulations. Without in any way limiting the foregoing, the Company, the Medical Groups, and, to the knowledge of the Company, all persons and entities providing services for the Company or the Medical Groups have not engaged in any of the following activities:
(i) knowingly and willingly made or caused to be made any false statement or representation of a material fact in any application for any benefit or payment;
(ii) knowingly and willingly made or caused to be made any false statement or representation of a material fact for use in determining rights to any benefit or payment;
(iii) presenting or causing to be presented a claim for reimbursement under CHAMPUS, Medicare, Medicaid, or other state healthcare program that is for an item or service that the person presenting or causing to be presented knows or should know was not provided as claimed, or presenting a claim that the person presenting knows or should know is false or fraudulent;
(iv) having knowledge of the occurrence of any event affecting (a) his/her initial or continued right to any benefit or payment or (b) the initial or continued right to any benefit or payment of any other individual in whose behalf he/she has applied for or is receiving such benefit or payment, conceals or fails to disclose such event with an intent fraudulently to secure such benefit or payment either in a greater amount or quantity that is due or when no such benefit or payment is authorized;
(v) offering, paying, soliciting or receiving any remuneration (including any kickback, bribe, or rebate), directly or indirectly, overtly or covertly, in cash or in kind (a) in return for referring, or to induce the referral of, an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part by CHAMPUS, Medicare or Medicaid, or...
Fraud and Abuse Matters. Neither the Partnership nor the officers, directors, employees or agents of the Partnership or its general partner, have engaged in any activities which are prohibited, or are cause for civil penalties or mandatory or permissive exclusion from Medicare or Medicaid, under xx.xx. 1320a-7, 1320a-7a, 1320a-7b, or 1395nn of Title 42 of the United States Code, the federal Civilian Health and Medical Plan of the Uniformed Services statute ("CHAMPUS"), or the regulations promulgated pursuant to such statutes or regulation, or related state or local statutes or which are prohibited by any private accrediting organization from which the Partnership seeks accreditation or by generally recognized professional standards of care or conduct, including but not limited to the following activities:
(a) knowingly and willfully making or causing to be made a false statement or representation of a material fact in any application for any benefit or payment;
(b) knowingly and willfully making or causing to be made any false statement or representation of a material fact for use in determining rights to any benefit or payment;
(c) presenting or causing to be presented a claim for reimbursement under CHAMPUS, Medicare, Medicaid or other State Health Care Program as defined in Section 1128(h) of the federal Social Security Act (together with all regulations promulgated pursuant thereto, the "SSA") or any Federal Health Care Program (as defined in Section 1128B(f) of the SSA) that is (i) for an item or service that the person presenting or causing to be presented knows or should know was not provided as claimed, or (ii) for an item or service and the person presenting knows or should know that the claim is false or fraudulent;
(d) knowingly and willfully offering, paying, soliciting or receiving any remuneration (including any kickback, bribe, or rebate), directly or indirectly, overtly or covertly, in cash or in kind (i) in return for referring, or to induce the referral of, an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part by CHAMPUS, Medicare or Medicaid, or other State Health Care Program or any Federal Health Care Program, or (iii) in return for, or to induce, the purchase, lease, or order, or the arranging for or recommending of the purchase, lease, or order, of any good, facility, service, or item for which payment may be made in whole or in part by CHAMPUS, Medicare or Medica...
Fraud and Abuse Matters. To the Company's knowledge, the Company, the Medical Groups, and all persons and entities providing services for the Company or the Medical Groups, have not engaged in any activities which are prohibited or could form the basis for criminal penalties, civil monetary penalties or a mandatory or permissive exclusion from the Medicare, Medicaid or other federal and state health care programs under ss. ss. 1320a-7, 1320a-7a, 1320a-7b, or 1395nn of Title 42 of the United States Code, the federal CHAMPUS statute, or any regulations promulgated thereunder, or similar or related federal, state and local statutes, common law or regulations. Without in any way limiting the foregoing, the Company, the Medical Groups, and, to the knowledge of the Company, all persons and entities providing services for the Company or the Medical Groups have not engaged in any of the following activities: (i) knowingly and willingly made or caused to be made any false statement or representation of a material fact in any application for any benefit or payment;
Fraud and Abuse Matters. Neither Acquiror nor any Acquiror Subsidiary, nor the officers, directors, employees or agents of any of Acquiror or any Acquiror Subsidiary, have engaged in any activities which are prohibited, or are cause for civil penalties or mandatory or permissive exclusion from Medicare, Medicaid, or any other State Health Care Program (as defined in Section 1128(h) of the federal Social Security Act ("SSA")) or Federal Health Care Program (as defined in Section 1128B(f) of the SSA) under Sections 1320a-7, 1320a-7a, 1320a-7b, or 1395nn of Title 42 of the United States Code, the federal CHAMPUS statute, or the regulations promulgated pursuant to such statutes or regulations or related state or local statutes or which are prohibited by any private accrediting organization from which Acquiror or any Acquiror Subsidiary seeks accreditation or by generally recognized professional standards of care or conduct, including but not limited to the following activities:
