Agency Settlements definition

Agency Settlements means rights to settlements and retroactive adjustments, if any, whether arising under a cost report of Seller or otherwise, for cost reporting periods ending on or prior to the Closing Date, whether open or closed, arising from or against the United States government under the terms of the Medicare program or TRICARE or the Disproportionate Share Replacement Payments program or against the State of California under the Medi-Cal program, and against any third-party payor programs which settle upon a basis other than individual claims.
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Agency Settlements means, with respect to the Business, all rights to or liabilities for settlement, overpayments, fines, cost, fees and retroactive adjustments, if any, for (i) open cost reporting periods ending on or prior to the Closing Date (whether open or closed) arising from or against any Government Reimbursement Program or other payor, as well as (ii) such rights and potential liabilities of others related to the Medicare and Medicaid Statute, the civil False Claims Act (31 X.X.X. §0000, et seq.), the Anti-Kickback Statute (42 U.S.C. §1320a-7b(b), the Limitation on Physician Self-Referral Statute, known as the Xxxxx Law ( 42 U.S.C. §1395nn), the anti- kickback provisions of the SUPPORT for Patients and Communities Act (18 U.S.C. § 220), the Civil Monetary Penalties Statute (42 U.S.C. §1320a-7a), or any other federal or state law, to the extent that the matters referenced in subsections (i) and (ii) above are attributable to services provided, agreements effective, or actions taken or actions not taken, during any period of time prior to the Effective Time.
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Agency Settlements means, with respect to the Business, all rights to or liabilities for settlement and retroactive adjustments, if any, for open cost reporting periods ending on or prior to the Closing Date (whether open or closed) arising from or against any Government Reimbursement Program or other payor which is attributable to services provided during any period of time prior to the Effective Time.
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Examples of Agency Settlements in a sentence

  • For the avoidance of doubt, the Parties acknowledge the agreements set out in Section 1.4(h) and further agree that the Hospital and the City hereby agree to hold SEARHC harmless from any Claim with respect to any such Government Reimbursement Programs, whether such Claims are advanced by a Government Agency or third party, including (but not limited to) Claims with respect to Settlement Payments and Agency Settlements.

  • Purchaser shall remit any receipts relating to the Seller Cost Reports or the Agency Settlements within five (5) business days after receipt by Purchaser and will forward any demand for payments within five (5) business days.

  • Sellers shall retain all rights to Agency Settlements and to Sellers Cost Reports including any amounts receivable or payable in respect of such reports or reserves relating to such reports.

  • This Section 3.3 shall not apply to (i) fraudulent, willful and/or gross misrepresentations or warranties of the City, the Hospital, or any other Person who has made any such fraudulent, willful and/or gross misrepresentations or warranty as to the City, the Hospital, the Acquired Assets or this Agreement either in this Agreement or in other statements made to SEARHC or its representatives or (ii) Liabilities associated with Agency Settlements.

  • Within ten (10) business days after receipt by Purchaser, Purchaser shall remit or forward to the Seller Representative any receipts relating to the Seller Cost Reports or the Agency Settlements and any demand for payments.

  • Sellers shall retain all rights to Seller Cost Reports including any payables resulting therefrom or receivables relating thereto and the right to appeal any Medicare determinations relating to the Agency Settlements and Seller Cost Reports.

  • Sellers shall retain the originals of Sellers Cost Reports, correspondence, work papers and other documents relating to Sellers Cost Reports and the Agency Settlements.

  • The idea was not to prepare a revision of the Hague or Hamburg Rules, but rather to seek a comprehensive legislation, which would also include liability issues, and would be aimed at the regulation of the entire contract of carriage by sea and the mechanisms by which the documents generated by this contract would operate, not just for the purposes of transportation, but, more importantly, for thepurposes of international overseas trade.

  • Purchaser shall forward to Seller any and all correspondence relating to the Accounts Receivable, the Subsidiaries' Cost Reports or rights to settlements and retroactive adjustments on the Subsidiaries' Cost Reports ("Agency Settlements") within five (5) business days of receipt by Purchaser.

  • It is therefore possible to assume that they serve an overall lower use and are used for more specific purposes.


More Definitions of Agency Settlements

Agency Settlements has the meaning set forth in Section 2.1.
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Agency Settlements is defined in Section 2.2(j).
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Agency Settlements has the meaning ascribed to it in Section 8.8(a).
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Agency Settlements means any settlements and retroactive adjustments for open cost reporting periods ending at or prior to the end of the cost reporting period during which the Effective Time occurs (whether open or closed) arising from or against the U.S. Government or any state under the terms of the Government Programs and from or against any commercial third- party payor programs that settle on a cost report basis and amounts received following the Closing as a result of settlements of appeals and other risk settlements related to periods ending at or prior to the Effective Time.
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Agency Settlements means rights to settlements and retroactive adjustments, if any, arising under the terms of the Medicare program or the TRICARE program and against any third party payor programs which settle upon a basis other than an individual claim basis.
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Agency Settlements means, with respect to the Business, all rights to or liabilities for settlement, overpayments, fines, cost, fees and retroactive adjustments, if any, for (i) open cost reporting periods ending on or prior to the Closing Date (whether open or closed) arising from or against any Government Reimbursement Program or other payor, as well as (ii) such rights and potential liabilities of the City of others related to the Medicare and Medicaid Statute, the civil False Claims Act (31 X.X.X. §0000, et seq.), the Anti-Kickback Statute (42 U.S.C. §1320a-7b(b), the Limitation on Physician Self-Referral Statute, known as the Xxxxx Law ( 42 U.S.C. §1395nn), the anti-kickback provisions of the SUPPORT for Patients and Communities Act (18 U.S.C. § 220), the Civil Monetary Penalties Statute (42 U.S.C. §1320a-7a), or any other federal or state law..
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Related to Agency Settlements

  • Viatical settlement broker means a person, including a life insurance producer as provided for in section 508E.3, who, working exclusively on behalf of a viator and for a fee, commission, or other valuable consideration, offers or attempts to negotiate viatical settlement contracts between a viator and one or more viatical settlement providers or one or more viatical settlement brokers. Notwithstanding the manner in which the viatical settlement broker is compensated, a viatical settlement broker is deemed to represent only the viator, and not the insurer or the viatical settlement provider, and owes a fiduciary duty to the viator to act according to the viator’s instructions and in the best interest of the viator. “Viatical settlement broker” does not include an attorney, certified public accountant, or a financial planner accredited by a nationally recognized accreditation agency who is retained to represent the viator and whose compensation is not paid directly or indirectly by the viatical settlement provider or purchaser.

  • Physical Settlement shall have the meaning specified in Section 14.02(a).

  • Physical Settlement Date means the date specified as such in any Physical Settlement Notice, which shall be not earlier than 10 nor later than 20 Business Days after the date on which the Physical Settlement Notice is given.

  • Physical Settlement Amount For any Settlement Date for which Physical Settlement is applicable, an amount in cash equal to the product of (a) the Forward Price in effect on the relevant Settlement Date multiplied by (b) the Settlement Shares for such Settlement Date.

  • Structured settlement means an arrangement for periodic payment of damages for personal injuries established by settlement or judgment in resolution of a tort claim or for periodic payments in settlement of a workers’ compensation claim.

  • Daily Settlement Price means the settlement price for a Swap calculated each Business Day by or on behalf of BSEF. The Daily Settlement Price can be expressed in currency, spread, yield or any other appropriate measure commonly used in swap markets.

  • TARGET2 Settlement Day means any day on which the Trans-European Automated Real-Time Gross Settlement Express Transfer (TARGET2) System is open.

  • Structured settlement obligor means, with respect to any structured settlement, the party that has the continuing obligation to make periodic payments to the payee under a structured settlement agreement or a qualified assignment agreement.

  • Viatical settlement contract or “contract” means a written agreement entered into between a provider and a viator in which the provider will pay consideration that is less than the expected death benefit of the viator's policy in return for the viator's assignment, transfer, sale, devise, or bequest of the death benefit or ownership of the policy to the provider.

  • Structured settlement agreement means the agreement, judgment, stipulation, or release embodying the terms of a structured settlement.