Medicare and Medicaid Billing Sample Clauses

Medicare and Medicaid Billing. Until the Closing Date, Seller shall continue to xxxx Medicare and Medicaid in the ordinary course of business consistent with past practices for amounts due under such Government Sponsored Health Care Programs. On and following the Transition Date, to the extent permitted by applicable Health Care Laws and Government Sponsored Health Care Programs, Purchaser shall be permitted to xxxx under the Provider Agreements during the period that commences on the Transition Date and that ends on the date that is 30 days after the issuance of the Medicare tie-in notice and the Purchaser’s Medicaid contracts. Notwithstanding the foregoing, from and after the Closing Date, Purchaser shall assume sole responsibility for billing applicable Government Sponsored Health Care Programs for services rendered at the Properties, whether in the name of Purchaser or Seller, as applicable. Regardless of which party bills Medicare, or Medicaid, the payments received therefrom shall be allocated as follows: (1) Seller shall retain whatever right, title and interest it may have in and to A/R existing before the Closing Date. Purchaser acknowledges and agrees that (i) it shall do nothing to interfere with any and all rights that Seller may have in or with respect to such A/R, including, but not limited to, the right to collect the same and to enforce any and all of its rights with respect to such A/R, and (ii) if it receives any proceeds with respect to such A/R, Purchaser and New Operator will hold such proceeds in trust for Seller and shall promptly turn over those proceeds to Seller in accordance with the provisions of this Section 8. (2) Within ten (10) business days after the Closing Date, Seller shall provide Purchaser and New Operator with a schedule setting forth by resident all of Seller’s outstanding A/R as of the Closing Date. (3) In furtherance and not in limitation of the requirements set forth in Section 8(f)(vi)(1), payments received by Purchaser or New Operator from and after the Closing Date from any source, including, without limitation, Third Party Payors, including Medicare, Medicaid, managed care and health insurance, shall be handled as follows: (A) If such payments specifically indicate on the accompanying remittance advice, or if the parties agree, that they relate to the period prior to the Closing Date, Seller shall be entitled to retain the same or, if received by Purchaser or New Operator, such payments shall be forwarded to Seller, along with the applicabl...

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Related to Medicare and Medicaid Billing

Medicaid If and when the Resident’s assets/funds have fallen below the Medicaid eligibility levels, and the Resident otherwise satisfies the Medicaid eligibility requirements and is not entitled to any other third party coverage, the Resident may be eligible for Medicaid (often referred to as the “payor of last resort”). THE RESIDENT, RESIDENT REPRESENTATIVE AND SPONSOR AGREE TO NOTIFY THE FACILITY AT LEAST THREE (3) MONTHS PRIOR TO THE EXHAUSTION OF THE RESIDENT’S FUNDS (APPROXIMATELY $50,000) AND/OR INSURANCE COVERAGE TO CONFIRM THAT A MEDICAID APPLICATION HAS OR WILL BE SUBMITTED TIMELY AND ENSURE THAT ALL ELIGIBILITY REQUIREMENTS HAVE BEEN MET. THE RESIDENT, RESIDENT REPRESENTATIVE AND/OR SPONSOR AGREE TO PREPARE AND FILE AN APPLICATION FOR MEDICAID BENEFITS PRIOR TO THE
Medicare Parts A and B of the health care program for the aged and disabled provided by Title XVIII of the United States Social Security Act, as amended from time to time. [MEMBER]. An eligible person who is covered under this Contract (includes Covered Employee[ and covered Dependents, if any)].
Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.
Family Care and Medical Leave An unpaid Family Care and Medical Leave shall be granted, to the extent of and subject to the restrictions as set forth below, to an employee who has been employed for at least twelve (12) months and who has served for 130 workdays during the twelve (12) months immediately preceding the effective date of the leave. For purposes of this Section, furlough days and days worked during off-basis time shall count as "workdays". Family Care and Medical Leave absences of twenty (20) consecutive working days or less can be granted by the immediate administrator or designee. Leaves of twenty (20) or more consecutive working days can be granted only by submission of a formal leave application to the Personnel Commission.
Health Care Operations “Health Care Operations” shall have the same meaning as the term “health care operations” in 45 CFR §164.501.
Medicaid Program Parties (applicable to any Party providing services and supports paid for under Vermont’s Medicaid program and Vermont’s Global Commitment to Health Waiver):
Subcontracting for Medicaid Services Notwithstanding any permitted subcontracting of services to be performed under this Agreement, Party shall remain responsible for ensuring that this Agreement is fully performed according to its terms, that subcontractor remains in compliance with the terms hereof, and that subcontractor complies with all state and federal laws and regulations relating to the Medicaid program in Vermont. Subcontracts, and any service provider agreements entered into by Party in connection with the performance of this Agreement, must clearly specify in writing the responsibilities of the subcontractor or other service provider and Party must retain the authority to revoke its subcontract or service provider agreement or to impose other sanctions if the performance of the subcontractor or service provider is inadequate or if its performance deviates from any requirement of this Agreement. Party shall make available on request all contracts, subcontracts and service provider agreements between the Party, subcontractors and other service providers to the Agency of Human Services and any of its departments as well as to the Center for Medicare and Medicaid Services.
HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.
Health Care Compliance Neither the Company nor any Affiliate has, prior to the Effective Time and in any material respect, violated any of the health care continuation requirements of COBRA, the requirements of FMLA, the requirements of the Health Insurance Portability and Accountability Act of 1996, the requirements of the Women's Health and Cancer Rights Act of 1998, the requirements of the Newborns' and Mothers' Health Protection Act of 1996, or any amendment to each such act, or any similar provisions of state law applicable to its Employees.
Medi Cal/daily service logs and notes and other documents used to record provision of services provided by instructional assistants, behavior intervention aides, bus aides, and supervisors