Common use of Restrictions on Referrals Clause in Contracts

Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals. By signing this subcontract, Provider certifies that it has not engaged in any violation of the Medicare Anti- Kickback statute (42 USC §§1320a-7b) or the “Xxxxx I” and “Xxxxx II” laws governing related-entity referrals (PL 101-239 and PL 101-432) and compensation there from. If Provider provides laboratory testing, it certifies that it has complied with 42 CFR 411.361 and has sent to AHCCCS simultaneous copies of the information required by that rule to be sent to the Centers for Medicare and Medicaid Services.

Appears in 3 contracts

Samples: learn.optumrx.com, learn.optumrx.com, learn.optumrx.com

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Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals. By signing this subcontract, Provider certifies that it has not engaged in any violation of the Medicare Anti- Anti-Kickback statute (42 USC §§1320a-7b) or the “Xxxxx I” and “Xxxxx II” laws governing related-entity referrals (PL 101-239 and PL 101-432) and compensation there from. If Provider provides laboratory testing, it certifies that it has complied with 42 CFR 411.361 and has sent to AHCCCS Department(s) simultaneous copies of the information required by that rule to be sent to the Centers for Medicare and Medicaid Services.

Appears in 2 contracts

Samples: www.optum.com, www.optum.com

Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals. By signing this subcontract, Provider certifies that it has not engaged in any violation of the Medicare Anti- Anti-Kickback statute (42 USC §§1320a-7b) or the “Xxxxx I” and “Xxxxx II” laws governing related-entity referrals (PL 101-239 and PL 101-432) and compensation there from. If Provider provides laboratory testing, it certifies that it has complied with 42 CFR 411.361 and has sent to AHCCCS simultaneous copies of the information required by that rule to be sent to the Centers for Medicare and Medicaid Services.

Appears in 1 contract

Samples: www.uhchearing.com

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Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals. By signing this subcontract, Provider certifies that it has not engaged in any violation of the Medicare Anti- Kickback statute (42 USC §§1320a-7b) or the “Xxxxx I” and “Xxxxx II” laws governing related-entity referrals (PL 101-239 and PL 101-432) and compensation there from. If Provider provides laboratory testing, it certifies that it has complied with 42 CFR 411.361 and has sent to AHCCCS Department(s) simultaneous copies of the information required by that rule to be sent to the Centers for Medicare and Medicaid Services.

Appears in 1 contract

Samples: public.providerexpress.com

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