Common use of Third Party Billing Clause in Contracts

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA LFAC contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFAC, LFAC must certify to OIG that he or it does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFAC’s Implementation Report and each Annual Report required by Section V below.

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA LFAC contracts IA, OC or Xxxxxx contract with a third party billing company to submit claims to the Federal health care programs on behalf of LFACOC or Xxxxxx, LFAC XX and Xxxxxx must certify to OIG that he or it does they do not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC OC and Xxxxxx also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFAC’s OC and Xxxxxx’x Implementation Report and each Annual Report required by Section V below.

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA LFAC LHMC contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACLHMC, LFAC LHMC must certify to OIG that he or it does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC LHMC also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFACLHMC’s Implementation Report and each Annual Report required by Section V below.

Third Party Billing. ‌ If, prior to the Effective Date or at any time during the term of this IA LFAC Bhayani contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACBhayani, LFAC Bhayani must certify to OIG that he or it Bhayani does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC Bhayani also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFACBhayani’s Implementation Report and each Annual Report required by Section V below.

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA LFAC MMW contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACMMW, LFAC MMW must certify to OIG that he [he, she or it it] does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC MMW also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFACMMW’s Implementation Report and each Annual Report required by Section V below.

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA LFAC Practitioner contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACPractitioner, LFAC Practitioner must certify to OIG that he or it does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC Practitioner also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFACPractitioner’s Implementation Report and each Annual Report required by Section V below.

Third Party Billing. ‌ If, prior to the Effective Date or at any time during the term of this IA LFAC I&L contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACI&L, LFAC I&L must certify to OIG that he or it does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC I&L also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFACI&L’s Implementation Report and each Annual Report required by Section V below.

Third Party Billing. ‌ If, prior to the Effective Date or at any time during the term of this IA LFAC Hanflink contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACHanflink, LFAC Hanflink must certify to OIG that he or it does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC Hanflink also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFACHanflink’s Implementation Report and each Annual Report required by Section V below.

Third Party Billing. ‌ If, prior to the Effective Date or at any time during the term of this IA LFAC Kumar contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACKumar, LFAC Kumar must certify to OIG that he [he, she or it it] does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC Kumar also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFACKumar’s Implementation Report and each Annual Report required by Section V below.below.‌‌

Third Party Billing. ‌ If, prior to the Effective Date or at any time during the term of this IA LFAC Xxxxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACXxxxxxx, LFAC Xxxxxxx must certify to OIG that he or it does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC Xxxxxxx also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFAC’s Xxxxxxx’x Implementation Report and each Annual Report required by Section V below.

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA LFAC Xxxxx Pharmacy contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACCasey Pharmacy, LFAC Xxxxx Pharmacy must certify to OIG that he or it they does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(31320a- 3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC Xxxxx Xxxxxxxx also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFACXxxxx Pharmacy’s Implementation Report and each Annual Report required by Section V below.

Third Party Billing. ‌ If, prior to the Effective Date or at any time during the term of this IA LFAC Springfield contracts with a third party billing company to submit claims to the Federal health care programs on behalf of LFACSpringfield, LFAC Springfield must certify to OIG that he [he, she or it it] does not have an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the third party billing company and is not employed by, and does not act as a consultant to, the third party billing company. LFAC Springfield also shall obtain (as applicable) a certification from any third party billing company that the company: (i) has a policy of not employing any person who is excluded from participation in any Federal health care program to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its prospective and current employees against the Exclusion List; and (iii) provides training in the applicable requirements of the Federal health care programs to those employees involved in the preparation and submission of claims to Federal health care programs. If applicable, a copy of these certifications shall be included in LFACSpringfield’s Implementation Report and each Annual Report required by Section V below.