Billing and Collection Practices Clause Samples

Billing and Collection Practices. Change, in any general way, any of its practices, policies, procedures or timing of the collection of accounts receivable, billing of its customers, payment terms, cash collections, cash payments, or terms with vendors, which shall not restrict National’s ability to deal with any individual customer or vendor in the ordinary course of business consistent with past practice;

Billing and Collection Practices. (i) The current practices and -------------------------------- procedures of PSS with respect to (A) billing on behalf of customers, (B) receiving and processing Medicare and Medicaid payments due to customers, (C) holding and transfer of such payments and (D) the method of determining and collecting the fees received by PSS for services provided by providers and physicians participating in the Medicare or Medicaid programs are not in violation in any material respect of the restriction on assignment as set forth in 42 U.S.C. Section 1395g(c), 42 U.S.C. Section 1395u(b)(6) and 42 U.S.C. Section 1396(a)(32), and the regulations promulgated thereunder or similar provisions of any state Medicaid program. (ii) PSS is not engaged in any activity, whether alone or in concert with one or more of its clients, which would constitute a violation in any material respect of any Federal laws or of the laws of any state where PSS does business or otherwise applicable to PSS (including (A) Federal antifraud and abuse or similar laws pertaining to Medicare, Medicaid, or any other Federal health or insurance program, (B) state laws pertaining to Medicaid or any other state health or insurance program, (C) state or Federal laws pertaining to ▇▇▇▇▇▇▇▇ to insurance companies, health maintenance organizations, and other managed care plans or to insurance fraud, and (D) Federal and state laws relating to collection agencies and the performance of collection services) prohibiting fraudulent, abusive or unlawful practices connected in any way with the provision of health care services, the billing for such services provided to a beneficiary of any state, Federal or health or insurance program or credit collection services. Without limiting the generality of the foregoing, PSS has not, directly or indirectly, paid, offered to pay or agreed to pay, or solicited or received, any fee, commission, sum of money, property or other remuneration to or from any person which PSS knows or has reason to believe to have been illegal under 42 U.S.C. Section 1320a-7b(b) or any similar state law.

Billing and Collection Practices. Manager shall establish and administer systems for the timely issuance of bills, including claims for reimbursement from governmental and other third-party payors as applicable, for all rooms, products and services provided at the Community and for which Owner is entitled to be paid. Manager shall employ its best efforts to collect any and all rents, charges, reimbursement and accounts receivable owed to Owner with respect to the Community. Subject to the provisions of Section 5.12, Manager may employ, as an Authorized Expenditure to the extent set forth in the Operating Plan, collection agencies and legal counsel where appropriate to pursue such claims on behalf of Owner, in each case in accordance with applicable law. All accounting, billing and collection policies of the Community (including with respect to the write-off of any amounts owed) shall be subject to the prior written approval of the Owner.

Billing and Collection Practices. (a) The current practice and procedures of SAI and ODL with respect to the Business regarding (i) billing on behalf of clients, (ii) receiving and processing Medicare and Medicaid payments due to clients, (iii) holding and transfer of such payments and (iv) the method of determining and collecting the fees received by the Business for services provided by providers and physicians participating in the Medicare or Medicaid programs are not in violation of the restriction on assignment as set forth in 42 U.S.C. ss. 1395g(c), 42 U.S.C. ss. 1395u(b)(6) and 42 U.S.C. ss. 1396(a)(32), and the regulations promulgated thereunder or similar provisions of any state Medicaid program, except for such violations which in the aggregate would not have a Material Adverse Effect on the Business. (b) To the best knowledge of Sellers' Executives, neither SAI nor ODL is engaged in any activity relating to the Business, whether alone or in concert with one of its clients, which would constitute a violation of any federal laws or the laws of any state (including but not limited to (i) federal antifraud and abuse or similar laws pertaining to Medicare, Medicaid, or any other federal health or insurance program; (ii) state law pertaining to Medicaid or any other state health or insurance program; (iii) state or federal laws pertaining to bill▇▇▇▇ ▇▇ insurance companies, health maintenance organizations, and other managed care plans or to insurance fraud; and (iv) federal and state laws relating to

Billing and Collection Practices. (i) The current practices and -------------------------------- procedures of each MARS Company with respect to (A) billing on behalf of customers, (B) receiving and processing Medicare and Medicaid payments due to customers, (C) holding and transfer of such payments and (D) the method of determining and collecting the fees received by such MARS Company for services provided by providers and physicians participating in the Medicare or Medicaid programs are not in violation in any material respect of the restriction on assignment as set forth in 42 U.S.C. Section 1395g(c), 42 U.S.C. Section 1395u(b)(6) and 42 U.S.C. Section 1396a(a)(32), and the regulations promulgated thereunder or similar provisions of any state Medicaid program. (ii) No MARS Company is engaged in any activity, whether alone or in concert with one or more of its clients, which would constitute a violation in any material respect of any Federal laws or the laws of any state (including (A) Federal antifraud and abuse or similar laws pertaining to Medicare, Medicaid, or any other Federal health or insurance program, (B) state laws pertaining to Medicaid or any other state health or insurance program, (C) state or Federal laws pertaining to ▇▇▇▇▇▇▇▇ to insurance companies, health maintenance organizations, and other managed care plans or to insurance fraud, and (D) Federal and state laws relating to collection agencies and the performance of collection services) prohibiting fraudulent, abusive or unlawful practices connected in any way with the provision of health care services, the determination of eligibility for health care services, the billing for such services provided to a beneficiary of any state, Federal or private health or insurance program or credit collection services. Without limiting the generality of the foregoing, to Sellers' knowledge, no MARS Company has, directly or indirectly, paid, offered to pay or agreed to pay, or solicited or received, any fee, commission, sum of money, property or other remuneration to or from any person which was or would be illegal under 42 U.S.C. Section 1320a-7b(b) or any similar state law. (iii) No MARS Company currently uses, or has in the past established or used, trust accounts in connection with its business, except for escrow accounts used as described in Section 2.1(t) of the Disclosure Schedule.

Billing and Collection Practices. The current practices and -------------------------------- procedures of Parent with respect to (A) billing on behalf of customers, (B) receiving and processing Medicare and Medicaid payments due to customers, (C) holding and transfer of such payments and (D) the method of determining and collecting the fees received by Parent for services provided by providers and physicians participating in the Medicare or Medicaid programs are not in violation of the restriction on assignment as set forth in 42 U.S.C. Section 1395g(c), 42 U.S.C. Section 1395u(b)(6) and 42 U.S.C. Section 1396(a)(32), and the regulations promulgated thereunder or similar provisions of any state Medicaid program, except where such violations, singly or in the aggregate, would not have a material adverse effect on the business, operations or condition of Parent (a "Parent Adverse Effect").

Billing and Collection Practices