Medicare Reporting. Executive affirms that he/she is not and has never been a recipient of Medicare benefits, is not otherwise eligible for Medicare benefits, and Medicare has not notified Executive (nor is Executive aware of) any Medicare liens applicable to Executive. Executive acknowledges that none of the Separation Pay is for medical treatment or injuries to Executive caused or attributed to the Employer. The parties have made every effort to adequately protect Medicare’s interest, if any, in this Agreement, and have not shifted responsibility for medical treatment to Medicare in contravention of federal law. Any present or future action or decision by Center for Medicare Services (CMS) regarding this Agreement, or Executive’s eligibility or entitlement to Medicare or Medicare payments, will not render this release void or ineffective, or affect the finality of this Agreement or release of claims. Executive waives any and all private causes of action for damages pursuant to 42 U.S.C. 1395, and acknowledges that the Employer will report any payments to CMS if specifically required by law to do so.
Medicare Reporting. The Parties acknowledge that the resolution of any Third Party Claim (subject to this Agreement) by way of a settlement, judgment, award or other payment to or on behalf of a Medicare beneficiary where medical expenses are claimed or released may impose reporting obligations pursuant to Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA), and the regulations and program guidance then in effect (“Section 111 Report”). Accordingly, so that the Indemnitee can timely and effectively investigate and discharge its reporting obligations, if any, to the Centers for Medicare and Medicaid Services (“CMS”), the Indemnifying Party agrees to:
Medicare Reporting. Mandatory reporting to the Center for Medicaid Services (CMS) shall be completed directly or through a reporting agent in compliance with Section 111 of the Medicare Medicaid and SCHIP Extension Act of 2007 (“MMSEA”). Medicare eligibility shall be documented in the claim file at time of settlement evaluation.
Medicare Reporting. A. Proper verification of a claimant’s status as to Medicare eligibility shall be completed and documented in every file involving a bodily injury. In those cases where the claimant does meet the eligibility requirements, mandatory reporting to the Center for Medicare and Medicaid Services (CMS) must be completed directly or through a reporting agent in compliance with State Children’s Health Insurance Program (SCHIP) Section 111 of the Medicare Medicaid and SCHIP Extension Act of 2007.
Medicare Reporting. By signing this Agreement, you acknowledge that you have carefully reviewed Attachment A regarding Medicare Reporting and you have fully and accurately completed Attachment A regarding potential Medicare eligibility. You also agree to waive and release any private cause of action for damages pursuant to 42 U.S.C. 1395. The parties have not shifted responsibility for medical treatment to Medicare in contravention of 42 U.S.C. 1395 and further acknowledge that any action or decision by the Centers for Medicare & Medicaid Services or Medicare regarding your eligibility or entitlement to Medicare or Medicare payments will not affect the finality of this Agreement or render the release of claims void or ineffective. The parties made every effort to adequately protect Medicare’s interest and incorporate such into the settlement terms, and to comply with both federal and state law. You agree you will indemnify, defend and hold the Company harmless from any Medicare conditional payments and right to payment, known or unknown, and all claims or liens related thereto.
Medicare Reporting. Provide a comprehensive Medicare reporting solution utilizing CS STARS and its Strategic Service Provider (SSP), Xxxxx and Xxxx, to facilitate the full cycle of reporting Medicare beneficiary data to Centers for Medicare and Medicaid Services (CMS) on behalf of Client as more fully outlined in Appendix A1.
Medicare Reporting. To enable reporting to the Centers for Medicare & Medicaid Services, any Settlement Class Member that is a Medicare beneficiary who sought services from a health care professional for emotional distress arising out of the Incident and may receive payment of over $750 under this Settlement Agreement will be required to provide additional information, including their full name, gender, date of birth, and Social Security number (last five digits at a minimum) or full Medicare Beneficiary Number to be eligible for payment.
Medicare Reporting. If applicable, Sponsoring Institution and Participating Institution shall exchange data and documentation required by the federal Medicare program for timely and complete reporting of the annual count of full time equivalent (“FTE”) resident positions under the Intern and House Officer Information System (“IRIS”). Sponsoring Institution shall respond to reasonable Participating Institution requests for information regarding the Medicare Direct Medical Education (“DME”) and Indirect Medical Education (“IME”) adjustment methodologies. The Participating Institution shall provide Sponsoring Institution its annual DME and IME counts and other reasonable information.
Medicare Reporting. Contract Administrator shall add Plan enrollment information to accompany the mandatory report of the Plan that Contract Administrator, acting on behalf of the Plan, submits to Medicare each quarter.
Medicare Reporting. Provide a comprehensive Medicare reporting solution utilizing Xxxxx ClearSight and its Strategic Service Provider (SSP), ExamWorks, to facilitate the full cycle of reporting Medicare beneficiary data to Centers for Medicare and Medicaid Services (CMS) on behalf of Client as more fully outlined in Appendix A. FCCS shall be responsible for any fines imposed by CMS resulting from a failure to meet its responsibilities as outlined in Appendix A
