Participation in Third Party Payor Programs. The Lessee and each Sublessee shall participate in all Third Party Payor Programs (which would be participated in by a prudent operator in the good faith exercise of commercially reasonable business judgment), in accordance with all requirements thereof (including, without limitation, all applicable Provider Agreements), and shall remain eligible to participate in such Third Party Payor Programs, all as shall be necessary for the prudent operation of the Facility in the good faith exercise of commercially reasonable business judgment.
Participation in Third Party Payor Programs. If Lessee or a Sublessee which is an Affiliate of Lessee elects to participate in Third Party Payor Programs, Lessee or such Sublessee shall remain eligible to participate in such Third Party Payor Programs in accordance with all requirements thereof (including, without limitation, all applicable Provider Agreements), if and to the extent remaining eligible shall be necessary for the prudent operation of the Facility in the good faith exercise of commercially reasonable business judgment.
Participation in Third Party Payor Programs. No provision of this Lease shall be deemed to require Lessee to commence participation in any Third Party Payor Program or any Managed Care Plan.
Participation in Third Party Payor Programs. Each of the Company and its subsidiaries meet all applicable Program requirements and conditions of participation and are a party to valid participation or other agreements required for payment by such Programs and other third-party payor programs. There are no material suspensions, offsets or recoupments of any Program or third-party payor payments being sought, requested or claimed, or to the Company’s knowledge, threatened against the Company or any of its subsidiaries. As of the date of this Agreement, none of the Company or its subsidiaries has received any written notice of denial of material payment, recoupment, or overpayment from any Program or other third-party payor in excess of $250,000. There is no Action pending or received or, to the knowledge of the Company or its subsidiaries, threatened, against any such entity which relates in any way to a violation of any legal requirement pertaining to the Programs or which could result in the imposition of material penalties, termination or the exclusion of the Company or any of its subsidiaries from participation in any Programs.
Participation in Third Party Payor Programs. The Company meets all Program requirements and conditions of participation and is a party to valid participation or other agreements required for payment by such Programs and other third-party payor program agreements (each, a “Third-Party Payor Program Agreement”). There are no material suspensions, offsets or recoupments of any Program payments or payments pursuant to Third-Party Payor Program Agreements being sought, requested or claimed, or to the Company’s knowledge, threatened against the Company. As of the date of this Agreement, the Company has not received any written notice of denial of material payment, recoupment, or overpayment from any Program or other Third-Party Payor Program Agreement in excess of $500,000. There is no Action pending or received or, to the Company’s knowledge, threatened, against the Company which relates in any way to a violation of any legal requirement pertaining to the Programs or which could result in the imposition of material penalties, termination or the exclusion of Company from participation in any Programs.
Participation in Third Party Payor Programs. In connection with Resident’s professional practice under this Agreement, Resident will:
3.3-1 participate in managed care and third party payor programs (e.g., ACOs, HMOs, PPOs, POSs), at- risk capitated programs, and the Medicare and Medicaid programs, as designated by Employer, but shall not so contract or participate with any third party payor or managed care plan (e.g., ACOs, HMOs, PPOs or IPAs), without the prior written consent of Employer;
3.3-2 abide by all applicable requirements and guidelines of the payment and health delivery plans in which Resident and/or Employer participate(s); and
Participation in Third Party Payor Programs. The Borrower shall participate in all Third Party Payor Programs (which would be participated in by a prudent operator in the good faith exercise of commercially reasonable judgement), in accordance with all requirements thereof (including, without limitation, all applicable Provider Agreements), and shall remain eligible to participate in all other Third Party Payor Programs as shall be necessary for the prudent operation of the Facilities in the good faith exercise of commercially reasonable business judgment.
Participation in Third Party Payor Programs. Physician shall participate in any third-party payment or health delivery plan designated by Employer or its designee and agrees to abide by all applicable requirements and guidelines of any third-party payment or health delivery plan in which Employer or its designee participates. In addition, Physician shall not participate in any third-party payment or health delivery plan (such as Medicare, Medicaid, Blue Cross/Blue Shield, HMOs and PPOs) in connection with Physician’s professional practice without the prior written consent of Employer. In the event Employer is unable to bill the Medicare or Medicaid programs, or any other payors responsible in total for more than 5% of the fees for Physician’s Medical Services, for a period of more than 30 days because of errors, omissions, related to willful wrongful actions of Physician, Employer may immediately terminate this Agreement. In the event Employer is unable to bill the Medicare or Medicaid programs, or any other payors responsible in total for more than 5% of the fees for Physician’s Medical Services, for a period of more than 30 days because of errors, omissions related to negligent actions of Physician, then subject to §5.10-3, Employer may terminate this Agreement.
Participation in Third Party Payor Programs. Each of the Fulgent Parties meet all applicable Program requirements and conditions of participation and are a party to valid participation or other agreements required for payment by such Programs and other third-party payor programs. There are no material suspensions, offsets or recoupments of any Program or third-party payor payments being sought, requested or claimed, or to the Company’s knowledge, threatened against any Fulgent Party. As of the date of this Agreement, none of the Fulgent Parties has received any written notice of denial of material payment, recoupment, or overpayment from any Program or other third-party payor in excess of $250,000. There is no Action pending or received or, to the knowledge of the Fulgent Parties, threatened, against any Fulgent Party which relates in any way to a violation of any legal requirement pertaining to the Programs or which could result in the imposition of material penalties, termination or the exclusion of any Fulgent Party from participation in any Programs.
Participation in Third Party Payor Programs. Lessee shall participate in and shall continue to remain eligible to participate in, all Third Party Payor Programs, all as shall be necessary for the prudent operation of the Facility in the good faith exercise of commercially reasonable business judgment.
