Common use of Reimbursement Matters Clause in Contracts

Reimbursement Matters. Except as disclosed on Schedule 3.1(x), (a) Seller has not and, to the Seller's Knowledge, no nursing home, hospital or other facility with respect to which Seller provides services has received any written notice of denial or recoupment from the Medicare or Medicaid programs, or any other third party reimbursement source (inclusive of managed care organizations) with respect to products or services provided by Seller, (b) to the Seller's Knowledge, there is no basis for the assertion after the Closing Date of any such denial or recoupment claim, and (c) neither Seller nor, to the Seller's Knowledge, any nursing home, hospital or other facility with respect to which Seller provides services has received written notice from any Medicare or Medicaid program or any other third party reimbursement source (inclusive of managed care organizations) of any pending or threatened investigations or surveys specifically with respect to, or arising out of, products or services provided by Seller, and to the Seller's Knowledge, no such investigation or survey is pending, threatened or imminent. Seller has fully and accurately disclosed to the appropriate intermediaries and carriers all material billing and business practices with respect to Medicare and Medicaid reimbursement with respect to the Business to the extent necessary for Seller to comply with applicable law. Seller has complied with all material requirements imposed by any such intermediary or carrier with respect to such billing. Seller has billed the applicable intermediaries and/or carriers for the services rendered by Seller in material compliance with all applicable Medicare and Medicaid laws, and Seller is not aware of any non-compliance by it with any state licensing or corporate practice of medicine law that would cause such billing or business practices to not be in material compliance with any of such Medicare or Medicaid laws. Seller has not received any notice from any regulatory authority or intermediary that indicates that Buyer could not continue to xxxx intermediaries in substantially the same manner and structure as Seller is billing on the date hereof.

Reimbursement Matters. Except as disclosed on Schedule 3.1(x2.29,and subject to Section 8.08(b), or other than in the ordinary course of business in compliance with law or with respect to matters pending in the usual procedures for denials (a) Seller has Sellers have not and, to the Seller's 37 Knowledge, no nursing home, hospital or other facility with respect to which Seller provides Sellers provide services has received any written notice of denial or recoupment from the Medicare or Medicaid programs, or any other third party reimbursement source (inclusive of managed care organizations) with respect to products or services provided by SellerSellers, (b) to the Seller's Knowledgeknowledge of Sellers and Key Employees, there is no basis for the assertion after the Closing Date of any such denial or recoupment claim, and (c) neither Seller nor, Sellers nor to the Seller's Sellers' Knowledge, any nursing home, hospital or other facility with respect to which Seller provides Sellers provide services has have received written notice from any Medicare or Medicaid program or any other third party reimbursement source (inclusive of managed care organizations) of any pending or threatened investigations or surveys specifically with respect to, or arising out of, products or services provided by Sellerthe Sellers, and to the Seller's KnowledgeSellers' knowledge, no such investigation or survey is pending, threatened or imminent. Seller has Sellers have fully and accurately disclosed to the appropriate intermediaries and carriers all material billing and business practices with respect to Medicare and Medicaid reimbursement with respect to the Business to the extent necessary for Seller Sellers to comply with applicable law. Seller has To the knowledge of Sellers and Key Employees, Sellers have complied with all material requirements imposed by any such intermediary or carrier with respect to such billing. Seller has Sellers have billed the applicable intermediaries and/or carriers for the services rendered by Seller Sellers in material compliance with all applicable Medicare and Medicaid laws, and Seller is Sellers are not aware of any non-compliance by it them with any state licensing or corporate practice of medicine law that would cause such billing or business practices to not be in material compliance with any of such Medicare or Medicaid laws. Seller has not Neither Sellers nor the Key Employees have received any notice from any regulatory authority or intermediary that indicates that the Buyer could not continue to xxxx intermediaries in substantially the same manner and structure as Seller is the Sellers are billing on the date hereof.

Reimbursement Matters. Except as disclosed on Schedule 3.1(x)4.35, (ai) Seller neither the Company nor any Subsidiary has not and, to the Seller's Knowledgeknowledge of the Company, no nursing home, hospital or other healthcare facility or healthcare provider or other person with respect to which Seller the Company or any Subsidiary provides services has received any written notice of denial or recoupment from the Medicare or Medicaid programs, or any other third party reimbursement source (inclusive of managed care organizations) with respect to products or services provided by Sellerthe Company or any Subsidiary, (bii) to the Seller's Knowledgeknowledge of the Company, there is no basis for the assertion after the Closing Date of any such denial or recoupment claim, claim and (ciii) neither Seller nornone of the Company, any Stockholder or any Principal Stockholder (but only if and to the Sellerextent acting on behalf of an Acquired Company or with respect to the Acquired Businesses), nor to the Company's Knowledgeknowledge, any nursing home, hospital or other healthcare facility or healthcare provider or other person with respect to which Seller any Acquired Company provides services has received written notice from any Medicare or Medicaid program or any other third party reimbursement source (inclusive of managed care organizations) of any pending or threatened investigations or surveys specifically with respect to, or arising out of, products or services provided by Sellerthe Company or any Subsidiary, and to the Seller's Knowledgeknowledge of the Company, no such investigation or survey is pending, threatened or imminent. Seller has The Company and the Subsidiaries have fully and accurately disclosed to the appropriate intermediaries and carriers all material billing and business practices with respect to Medicare and Medicaid reimbursement with respect to the Business to the extent necessary for Seller the Company and each Subsidiary to comply with applicable lawLaw. Seller has To the knowledge of the Company, the Company and the Subsidiaries have complied with all material requirements imposed by any such intermediary or carrier with respect to such billing. Seller has The Company and the Subsidiaries have billed the applicable intermediaries and/or carriers for the services rendered by Seller the Company or any Subsidiary in material compliance with all applicable Medicare and Medicaid lawsLaws, and Seller none of the Company, any Subsidiary or any Principal Stockholder is not aware of any non-compliance by it the Company or any Subsidiary with any state licensing or corporate practice of medicine law that would cause such billing or business practices to not be in material compliance with any of such Medicare or Medicaid lawsLaws. Seller None of the Company, any Subsidiary or any Principal Stockholder has not received any notice from any regulatory authority or intermediary that indicates that Buyer the Surviving Corporation could not continue to xxxx intermediaries in substantially the same manner and structure as Seller is the Company and the Subsidiaries are billing on the date hereof.

Reimbursement Matters. Except as disclosed on Schedule 3.1(x)5.23, in the past three years (a) Seller has not and, to the Seller's Knowledgeknowledge, no nursing home, hospital or other facility health care provider with respect to which Seller provides services has received any written notice of denial or recoupment from the Medicare or Medicaid programs, or any other third party reimbursement source (inclusive of managed care organizations) with respect to products or services provided by Seller, ; (b) to the Seller's Knowledgeknowledge, there is no basis for the assertion after the Closing Date of any such denial or recoupment claim, claim and (c) neither Seller nor, to the Seller's Knowledgeknowledge, any nursing home, hospital or other facility health care provider with respect to which Seller provides services has received written notice of any denial of claims for payment from any Medicare or Medicaid program or any other third party reimbursement source (inclusive of managed care organizations) of any pending or threatened investigations or surveys specifically with respect to, or arising out of, products or services provided by Seller, and to the Seller's Knowledgeknowledge, no such investigation or survey is pending, threatened or imminent. Seller has fully and accurately disclosed to the appropriate intermediaries and carriers all material billing and business practices with respect to Medicare and Medicaid reimbursement with respect to the Business to the extent necessary for Seller to comply with applicable law. Seller has complied with all material requirements imposed by any such intermediary or carrier with respect to such billing. Seller has billed the applicable intermediaries and/or carriers for the services rendered by Seller in material compliance with all applicable Medicare and Medicaid laws, and Seller is not aware of any non-compliance by it with any state licensing or corporate practice of medicine law that would cause such billing or business practices to not be in material compliance with any of such Medicare or Medicaid laws. Seller has not received any notice from any regulatory authority or intermediary that indicates that Buyer could not continue to xxxx intermediaries in substantially the same manner and structure as Seller is billing on the date hereof.