Common use of Healthcare Matters Clause in Contracts

Healthcare Matters. Within five (5) Business Days after any Credit Party obtaining knowledge thereof: (i) notice of any material investigation or audit, or pending or threatened proceedings relating to any violation by any Credit Party, any of their Subsidiaries, or any health care facility to which any Credit Party or any their Subsidiaries provides services, of any Health Care Laws (including, without limitation, any investigation or audit or proceeding involving violation of any of the Medicare and/or Medicaid fraud and abuse provisions); (ii) copies of any written recommendation from any Governmental Authority or other regulatory body that any Credit Party or any of their Subsidiaries, or any obligor to which any Credit Party or any their Subsidiaries provides services should have its licensure, provider or supplier number, or accreditation suspended, revoked, or limited in any way, or have its eligibility to participate in TRICARE, Medicare or Medicaid or to accept assignments or rights to reimbursement under TRICARE, Medicaid or Medicare regulations suspended, revoked, or limited in any way; (iii) notice of any claim to recover any alleged material overpayments with respect to any receivables including, without limitation, payments received from TRICARE, Medicare, Medicaid or from any private insurance carrier; (iv) notice of termination of eligibility of any Credit Party, any Subsidiary of any Credit Party, or any health care facility to which any Credit Party provides services to participate in any reimbursement program of any private insurance carrier, managed care or similar organization, or other obligor applicable to it; (v) notice of any material reduction in the level of reimbursement expected to be received with respect to any Receivables; (vi) notice of any reimbursement payment contract or process that results or is reasonably expected to result in any claim against a Credit Party or any Subsidiary of such Credit Party (including on account of overpayments, settlement payments, appeals, repayment plan requests); (vii) copies of any report or communication from any Governmental Authority in connection with any inspection of any facility of a Credit Party or any Subsidiary of such Credit Party other than those which are routine and non-material; and (viii) notice of any healthcare provider's fees being contested or disputed.

Appears in 4 contracts

Samples: Credit Agreement (RadNet, Inc.), Second Lien Credit Agreement (RadNet, Inc.), Second Lien Credit Agreement (Primedex Health Systems Inc)

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Healthcare Matters. Within five (5) Business Days after any Credit Party Parties obtaining knowledge Knowledge thereof: (i) notice a. Notice of any material investigation or audit, or pending or threatened proceedings relating to any violation by any Credit Party, any of their SubsidiariesSubsidiary, or any health care facility to which any a Credit Party or any their Subsidiaries Subsidiary provides services, of any Health Care Laws (including, without limitation, any investigation or audit or proceeding involving violation of any of the Medicare and/or Medicaid fraud and abuse provisions); (ii) copies b. Copies of any written recommendation from any Governmental Authority or other regulatory body that any Credit Party or Party, any of their SubsidiariesSubsidiary, or any obligor Obligor to which any Credit Party or any their Subsidiaries Subsidiary provides services should have its licensure, provider or supplier number, or accreditation suspended, revoked, or limited in any way, or have its eligibility to participate in TRICARE, Medicare or Medicaid or to accept assignments or rights to reimbursement under TRICARE, Medicaid or Medicare regulations suspended, revoked, or limited in any way; (iii) notice c. Notice of any claim to recover any alleged material overpayments with respect to any receivables Receivables including, without limitation, payments received from TRICARE, Medicare, Medicaid or from any private insurance carrier; (iv) notice d. Notice of termination of eligibility of any Credit Party, any Subsidiary of any Credit Party, or any health care facility to which any Credit Party provides services to participate in any reimbursement program of any private insurance carrier, managed care or similar organization, or other obligor Obligor applicable to it; (v) notice e. Notice of any material reduction in the level of reimbursement expected to be received with respect to any Receivables; (vi) notice f. Notice of any reimbursement payment contract or process that results or is reasonably expected to result in any claim against a Credit Party or any Subsidiary of such Credit Party (including on account of overpayments, settlement payments, appeals, repayment plan requests); (vii) copies g. Copies of any report or communication from any Governmental Authority in connection with any inspection of any facility of a Credit Party or any Subsidiary of such Credit Party other than those which are routine and non-materialParty; and (viii) notice h. Notice of any healthcare provider's fees being contested or disputed.

Appears in 1 contract

Samples: Loan and Security Agreement (Prospect Medical Holdings Inc)

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Healthcare Matters. Within five (5) Business Days after any Credit Party a Borrower obtaining knowledge thereofKnowledge of: (i) notice a. Notice of any material investigation or audit, or pending or threatened proceedings relating to any violation by any Credit PartyBorrower, any of their SubsidiariesSubsidiary, or any health care facility to which any Credit Party Borrowers or any their Subsidiaries Subsidiary provides services, of any Health Care Laws (including, without limitation, any investigation or audit or proceeding involving violation of any of the Medicare and/or Medicaid fraud and abuse provisions); (ii) copies b. Copies of any written recommendation from any Governmental Authority or other regulatory body that any Credit Party or Borrower, any of their SubsidiariesSubsidiary, or any obligor Obligor to which any Credit Party Borrowers or any their Subsidiaries Subsidiary provides services should have its licensure, provider or supplier number, licensure or accreditation suspended, revoked, or limited in any way, or have its eligibility to participate in TRICAREthe Civilian Health and Medical Program of the Uniformed Services ("CHAMPUS"), Medicare or Medicaid or to accept assignments or rights to reimbursement under TRICARECHAMPUS, Medicaid or Medicare regulations suspended, revoked, or limited in any way; (iii) notice c. Notice of any claim to recover any alleged material overpayments with respect to any receivables Receivables including, without limitation, payments received from TRICARECHAMPUS, Medicare, Medicaid or from any private insurance carrier; (iv) notice d. Notice of termination of eligibility of any Credit PartyBorrower, any Subsidiary of any Credit PartySubsidiary, or any health care facility to which any Credit Party provides Borrowers provide services to participate in any reimbursement program of any private insurance carrier, managed care or similar organization, carrier or other obligor Obligor applicable to it; (v) notice e. Notice of any material reduction in the level of reimbursement expected to be received with respect to any ReceivablesReceivables representing more than $100,000 in the aggregate of the value of all Eligible Receivables included in the Revolving Credit Borrowing Base; (vi) notice f. Notice of any reimbursement payment contract or process that results or is reasonably expected to may result in any claim against a Credit Party any Borrower or any Subsidiary of such Credit Party (including on account of overpayments, settlement payments, appeals, repayment plan requests);; and (vii) copies g. Copies of any report or communication from any Governmental Authority in connection with any inspection of any facility of a Credit Party any Borrower or any Subsidiary of such Credit Party other than those which are routine and non-material; and (viii) notice of any healthcare provider's fees being contested or disputedSubsidiary.

Appears in 1 contract

Samples: Loan and Security Agreement (LHC Group, Inc)

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