Non-Participation in Medicare Sample Clauses

Non-Participation in Medicare. You specifically acknowledge that pursuant to federal regulations, Practice and its Physician(s) have elected “opt out” status of Medicare participation. This means that Medicare cannot be billed for any Services performed under this Agreement. Further, You agree not to xxxx Medicare or attempt Medicare reimbursement for any such services. If You are (or become) Medicare eligible you must immediately notify Practice so that we may uphold our legal obligations in this regard. If You are eligible for Medicare, or during the term of this Agreement You become eligible for Medicare, then Practice is required to confirm Your understanding of this by obtaining Your signature on our Notice of Non-Covered Services.
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Non-Participation in Medicare. You specifically acknowledge that pursuant to federal regulations, the Practice and its Physicians have elected the “opt out” status of Medicare participation. This means that Medicare cannot be billed for any Services performed under this Agreement. Further, you agree not to xxxx Medicare or attempt Medicare reimbursement for any such Services. If you are eligible for Medicare, or during the term of this Agreement you become eligible for Medicare, then the Practice is required to obtain your understanding, memorialized by your signature, of our Private Contract & Voluntary Advance Beneficiary Notice of Non-Covered Services (“NCS Form”). If you are (or become) Medicare eligible and choose not to sign our NCS Form, your membership will be automatically terminated, and any unearned Monthly Fee will be refunded to you.
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Non-Participation in Medicare. You specifically acknowledge that pursuant to federal regulations, Medicare beneficiaries are not permitted to enter into this Agreement unless their provider has elected to opt-out of the Medicare program. If your provider has opted-out of the Medicare program, then federal regulations require you to sign our Medicare Beneficiary Private Contract. Failure to sign our Medicare Beneficiary Private Contract will result in your membership being automatically terminated and any unearned Fee will be prorated and refunded to you, as required. Medicare cannot be billed for any Services performed under this Agreement. Further, you agree not to xxxx Medicare or attempt Medicare reimbursement for any such services. By signing this Agreement, you specifically acknowledge and agree that if you are currently a Medicare beneficiary or if you become a Medicare beneficiary in the future, you will immediately notify Practice so that we may uphold our legal obligations.
Sample 1
Non-Participation in Medicare. You specifically acknowledge that your provider Xxxxxx Xxxxxxx, M.D., has elected to opt-out of the Medicare program and federal regulations require you to sign our Medicare Beneficiary Private Contract. Failure to sign our Medicare Beneficiary Private Contract will result in your membership being automatically terminated and any unearned fee will be prorated and refunded to you, as required. Medicare cannot be billed for any Services performed under this Agreement and you agree not to bill Medicare or attempt Medicare reimbursement for any such Services. By signing this Agreement, you specifically acknowledge and agree that if you are currently a Medicare beneficiary or if you become a Medicare beneficiary in the future, you will immediately notify Practice so that we may uphold our legal obligations.
Sample 1
Non-Participation in Medicare. You specifically acknowledge that pursuant to federal regulations, Medicare cannot be billed for any Services performed under this Agreement. Further, You agree not to xxxx Medicare or attempt Medicare reimbursement for any such services. If You are eligible for Medicare, or during the term of this Agreement You become eligible for Medicare, You agree to immediately notify Practice and this Agreement will be automatically terminated and any unearned Monthly Fee will be refunded to You. If You and Practice mutually agree, you may instead enter into Practice’s Medicare Agreement.
Sample 1
Non-Participation in Medicare. You specifically acknowledge that pursuant to federal regulations, Practice and its Physician(s)/Physician’s Assistants have elected “opt out” status related to Medicare participation. This means that Medicare cannot be billed for any Services performed under this Agreement. Further, You agree not to xxxx Medicare or attempt Medicare reimbursement for any such services. If You are eligible for Medicare, or during the term of this Agreement You become eligible for Medicare, then Practice is required to obtain your understanding, memorialized by your signature, of our Private Contract & Medicare Opt-Out Agreement. If You are (or become) Medicare eligible and choose not to sign our Medicare Opt-Out Agreement, your membership will be automatically terminated.
Sample 1
Non-Participation in Medicare. Persons who are current Medicare beneficiaries or eligible for Medicare are not eligible to be treated by the CLINIC nor PHYSICIAN. Medicare cannot be billed for any services performed by the CLINIC or PHYSICIAN. By your signature below, YOU acknowledge you are not a current or eligible Medicare beneficiary. PATIENT agrees to notify CLINIC within 60 days of becoming eligible for Medicare. This Agreement will terminate upon Medicare eligibility. CLINIC will coordinate a transition of care to an appropriate Medicare provider during the 60 day period. Any excess fees paid will be refunded to MEMBER.
Sample 1
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Non-Participation in Medicare. You specifically acknowledge that your provider Xxxxxx Xxxxxxx, M.D., has elected to opt-out of the Medicare program and federal regulations require you to sign our Medicare Beneficiary Private Contract. Medicare cannot be billed for any Services performed under this Agreement and you agree not to bill Medicare or attempt Medicare reimbursement for any such Services. By signing this Agreement, you specifically acknowledge and agree that if you are currently a Medicare beneficiary or if you become a Medicare beneficiary in the future, you will immediately notify Practice so that we may uphold our legal obligations.
Sample 1

Related to Non-Participation in Medicare

  • Union Participation The Employer agrees not to interfere with the rights of the employees to become members of the Union and there shall be no discrimination, interference, restraint, or coercion by the Employer or any Employer representative against any employee because of Union membership or because of any employee activity officially sanctioned by this contract on behalf of the Union.

  • Public Participation 79. This Consent Decree shall be lodged with the Court for a period of not less than 30 Days for public notice and comment in accordance with 28 C.F.R. ' 50.7. The United States reserves the right to withdraw or withhold its consent if the comments regarding the Consent Decree disclose facts or considerations indicating that the Consent Decree is inappro- priate, improper, or inadequate. Defendant consents to entry of this Consent Decree without further notice and agrees not to withdraw from or oppose entry of this Consent Decree by the Court or to challenge any provision of the Decree, unless the United States has notified Defendant in writing that it no longer supports entry of the Decree.

  • Association Participation Employee Represented - The Board acknowledges the right of the Association's grievance representative to participate in the processing of a grievance at any level, and no employee shall be required to discuss any grievance if the Association's representative is not present.

  • Non-Participation in Insurance Your initials on this clause of the Agreement acknowledges the Patient’s understanding that neither the CLINIC, nor its Physician, participate in any health insurance or HMO plans or panels and cannot accept Medicare eligible patients. We make no representations that any fees that You pay under this Agreement are covered by your health insurance or other third party payment plans. It is the Patient’s responsibility to determine whether reimbursement is available from a private, non-governmental insurance plan and to submit any required billing. (Initial)

  • Employee Participation The Employer will assist employees' participation in health promotion and health education programs. Health promotion and health education programs that have been endorsed by the Employer (Minnesota Management & Budget) will be considered to be non-assigned job-related training pursuant to Administrative Procedure 21. Approval for this training is at the discretion of the Appointing Authority and is contingent upon meeting staffing needs in the employee's absence and the availability of funds. Employees are eligible for release time, tuition reimbursement, or a pro rata combination of both. Employees may be reimbursed for up to one hundred (100) percent of tuition or registration costs upon successful completion of the program. Employees may be granted release time, including the travel time, in lieu of reimbursement.

  • Program Participation By participating in the CRF Program, Grantee agrees to:

  • Participation in the SRS 15. Parents who choose not to participate in the SRS are responsible for providing their student with all items that would otherwise be provided by the SRS to enable their student to engage with the curriculum.

  • DETERMINATION OF HUB PARTICIPATION A firm must be an eligible HUB and perform a professional or technical function relating to the project. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. A HUB subprovider, with prior written approval from the Department, may subcontract 70% of a contract as long as the DocuSign Envelope ID: 1FDB1C48-24B1-4C40-8A33-17263E465FE2 HUB subprovider performs a commercially useful function. All subcontracts shall include the provisions required in the subcontract and shall be approved as to form, in writing, by the Department prior to work being performed under the subcontract. A HUB performs a commercially useful function when it is responsible for a distinct element of the work of a contract; and actually manages, supervises, and controls the materials, equipment, employees, and all other business obligations attendant to the satisfactory completion of contracted work. If the subcontractor uses an employee leasing firm for the purpose of providing salary and benefit administration, the employees must in all other respects be supervised and perform on the job as if they were employees of the subcontractor.

  • Eligibility for Group Participation This section describes eligibility to participate in the Group Insurance Program.

  • Financial Participation Prohibited Under Section 2155.004, Texas Government Code (relating to financial participation in preparing solicitations), Contractor certifies that the individual or business entity named in this Contract and any related Solicitation Response is not ineligible to receive this Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate.

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