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 Xxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of Xxxxx, Xxxxx must certify to OIG that he 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. Xxxxx 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, debarred, suspended or otherwise ineligible to participate in Medicare or other Federal health care programs to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens his prospective and current employees against the HHS/OIG List of Excluded Individuals/Entities and the General Services Administration’s System for Award Management; 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 Xxxxx’s Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Integrity Agreement

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Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA Xxxxx Qin contracts with a third party billing company to submit claims to the Federal health care programs on behalf of XxxxxQin, Xxxxx Xxx must certify to OIG that he 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. Xxxxx Xxx 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, debarred, suspended or otherwise ineligible to participate in Medicare or other Federal health care programs to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens his its prospective and current employees against the HHS/OIG List of Excluded Individuals/Entities and the General Services Administration’s System for Award Management; 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 XxxxxQin’s Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Integrity Agreement

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA Xxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of XxxxxWiles, Xxxxx Wiles must certify to OIG that he 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. Xxxxx 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, debarred, suspended or otherwise ineligible to participate in Medicare or other Federal health care programs to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens his its prospective and current employees against the HHS/OIG List of Excluded Individuals/Entities and the General Services Administration’s System for Award Management; 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 Xxxxx’s Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Integrity Agreement

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA Xxxxx CIA La Fuente contracts with a third party billing company to submit claims to the Federal health care programs on behalf of XxxxxLa Fuente, Xxxxx La Fuente must certify to OIG that he 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. Xxxxx Xx 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, debarred, suspended or otherwise ineligible to participate in Medicare or other Federal health care programs to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens his its prospective and current employees against the HHS/OIG List of Excluded Individuals/Entities and the General Services Administration’s System for Award Management; 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 XxxxxLa Fuente’s Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Corporate Integrity Agreement

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA Xxxxx CIA PALMS contracts with a third party billing company to submit claims to the Federal health care programs on behalf of XxxxxPALMS, Xxxxx PALMS must certify to OIG that he 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. Xxxxx PALMS 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, debarred, suspended or otherwise ineligible to participate in Medicare or other Federal health care programs to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens his its prospective and current employees against the HHS/OIG List of Excluded Individuals/Entities and the General Services Administration’s System for Award Management; 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 XxxxxPALMS’s Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Corporate Integrity Agreement

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Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA Xxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of Xxxxx, Xxxxx must certify to OIG that he 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. Xxxxx 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, debarred, suspended or otherwise ineligible to participate in Medicare or other Federal health care programs to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens his its prospective and current employees against the HHS/OIG List of Excluded Individuals/Entities and the General Services Administration’s System for Award Management; 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 Xxxxx’s Xxxxx’x Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Integrity Agreement

Third Party Billing. If, prior to the Effective Date or at any time during the term of this IA Xxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of Xxxxx, Xxxxx must certify to OIG that he 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. Xxxxx 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, debarred, suspended or otherwise ineligible to participate in Medicare or other Federal health care programs to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens his its prospective and current employees against the HHS/OIG List of Excluded Individuals/Entities and the General Services Administration’s System for Award Management; 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 Xxxxx’s Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Integrity Agreement

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