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 Xxxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of Xxxxxx, Xxxxxx X. Xxxxxx, D.O., Xxxxx Xxxxxx, Dermatology Healthcare, LLC, and Xxxxxx X. Xxxxxx, D.O., P.A. must certify to OIG that 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. 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 Xxxxxx’x 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 Xxxxxx IA, Xxxxxxxxx-Xxxxx Neurology contracts with a third party billing company to submit claims to the Federal health care programs on behalf of XxxxxxChoudhary-Rolla Neurology, Xxxxxx X. Xxxxxx, D.O., Xxxxx Xxxxxx, Dermatology Healthcare, LLC, and Xxxxxx X. Xxxxxx, D.O., P.A. Xxxxxxxxx-Rolla Neurology must certify to OIG that they do Xxxxxxxxx-Rolla Neurology 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. Xxxxxx Choudhary-Rolla Neurology 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 excluded, debarred, suspended or otherwise ineligible to participate in any Medicare or other Federal health care program programs 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 ListHHS/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 Xxxxxx’x Choudhary-Rolla Neurology’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 Xxxxxx contracts Monos, Ltd., 215, and/or Xxxxxxxx contract with a third party billing company to submit claims to the Federal health care programs on behalf of XxxxxxMonos, Xxxxxx X. XxxxxxLtd., D.O., Xxxxx Xxxxxx, Dermatology Healthcare, LLC215, and Xxxxxx X. XxxxxxLipshutz, D.O.Monos, P.A. Ltd., 215, and Xxxxxxxx must certify to OIG that they do it/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. Xxxxxx Monos, Ltd., 215, and Xxxxxxxx also shall obtain (as applicable) a certification from any third party billing company that the company: (i1) 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; (ii2) screens its prospective and current employees against the Exclusion List; and (iii3) 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 Xxxxxx’x Monos, Ltd., 215, and Xxxxxxxx’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 IA, Xx. Xxxxxx- Xxxxxx D.P.M. contracts with a third party billing company to submit claims to the Federal health care programs on behalf of Xx. Xxxxxx-Xxxxxx D.P.M., Xx. Xxxxxx-Xxxxxx X. Xxxxxx, D.O., Xxxxx Xxxxxx, Dermatology Healthcare, LLC, and Xxxxxx X. Xxxxxx, D.O., P.A. D.P.M. must certify to OIG that they do 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. Xx. Xxxxxx-Xxxxxx D.P.M. 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 Xxxxxx’x Xx. Xxxxxx-Xxxxxx D.P.M.’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 Xxxxxx Chatterjee contracts with a third party billing company to submit claims to the Federal health care programs on behalf of XxxxxxXxxxxxxxxx, Xxxxxx X. Xxxxxx, D.O., Xxxxx Xxxxxx, Dermatology Healthcare, LLC, and Xxxxxx X. Xxxxxx, D.O., P.A. Xxxxxxxxxx must certify to OIG that they do 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. Xxxxxx MSO is not subject to the requirements of this paragraph. Xxxxxxxxxx also shall obtain (as applicable) a certification from any third party billing company company, including MSO, that the company: (i) has a policy of not employing any person who is excluded from participation excluded, debarred, suspended or otherwise ineligible to participate in any Medicare or other Federal health care program programs to perform any duties related directly or indirectly to the preparation or submission of claims to Federal health care programs; (ii) screens its his prospective and current employees against the Exclusion ListHHS/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 Xxxxxx’x Xxxxxxxxxx’x Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Integrity Agreement

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