Billing Compliance Sample Clauses

Billing Compliance. Group shall ensure that all billing and coding for professional services furnished by Group to ED Patients is in compliance with applicable laws and regulations, customary professional practice, the Federal Health Care Programs, and other third party payor programs, whether public or private. Group shall adopt and maintain billing and coding compliance policies and procedures to ensure Group’s compliance with applicable laws and regulations, including laws and regulations under the Federal Health Care Programs. Hospital shall have reasonable access to Group’s records in order to ensure Group’s compliance with this Agreement. Group shall promptly correct any billing errors documented by Hospital.
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Billing Compliance. Except as would not reasonably be expected to have a Material Adverse Effect, the Company and its subsidiary meet all applicable Health Care Program requirements and conditions of participation and are a party to valid participation or other agreements required for payment by such Health Care Programs. Except as would not reasonably be expected to have a Material Adverse Effect, all billing, claims, reporting and documentation practices of the Company and its subsidiary are in compliance and have been in compliance with all Health Care Laws and legally enforceable Health Care Program requirements. Except as would not reasonably be expected to have a Material Adverse Effect, or except as has been cured by the Company, during the last three years, neither the Company nor its subsidiary has billed, received or retained any payment or reimbursement in violation of applicable Health Care Laws or legally enforceable Health Care Program requirements. Except as disclosed in the Registration Statement, the Pricing Disclosure Package and the Prospectus (including unpaid amounts set forth in accounts receivable), there are no pending recoupments, appeals, or challenges in excess of $500,000 with respect to any bxxxxxxx or claims submissions. No audit, investigation, validation review or program integrity review related to the Company or its subsidiary has been conducted by any Health Care Program or governmental authority within the past three years that would, individually or in the aggregate, reasonably be expected to have a Material Adverse Effect. For purposes of this Agreement, “Health Care Program” means any health care insurance and other similar programs under which the Company or its subsidiary are directly or indirectly receiving payments, including any federal or state healthcare program, Medicare, Medicaid, the Tricare program, the Veterans Health Administration, private or commercial insurance programs, third-party administrators, preferred provider organizations, managed care organizations, health maintenance organizations, health plans, self-insured health plans, or any fiscal intermediary or contractor of any of the foregoing.
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Billing Compliance. Practitioner shall ensure that all billing and coding for professional services furnished by Practitioner to ED Patients is in compliance with applicable laws and regulations, customary professional practice, the Federal Health Care Programs, and other third party payor programs, whether public or private. Practitioner shall adopt and maintain billing and coding compliance policies and procedures to ensure Practitioner’s compliance with applicable laws and regulations, including laws and regulations under the Federal Health Care Programs. Hospital shall have reasonable access to Practitioner’s records in order to ensure Practitioner’s compliance with this Agreement. Practitioner shall promptly correct any billing errors documented by Hospital.
Sample 1
Billing Compliance. All bxxxxxxx by Seller for the Business as currently conducted for laboratory services rendered and marketing practices in connection therewith, including, without limitation, bxxxxxxx to all Government Healthcare Programs, private individuals or patients, private or commercial third-party payors, have been true and correct and in compliance with all applicable Laws and applicable reimbursement policies and guidance, in each case in all material respects.
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Billing Compliance. Buyer shall be reasonably satisfied with the results of an audit conducted by its compliance consultant regarding the compliance of Seller’s billing practices for government payors.
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Billing Compliance. 4.1. All billing information submitted by Customer shall be accurate, true and correct and not in violation of any federal, state or local law, code, regulation, ordinance or other applicable authority, including the terms of payment required by third-party payors. Notwithstanding anything herein to the contrary, the parties acknowledge that Company shall have final authority and absolute discretion to determine the appropriate coding and manner of billing for the technical component of Remote Monitoring Services rendered under this Exhibit.
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Related to Billing Compliance

  • Program Compliance The School Board shall be responsible for monitoring the program to provide technical assistance and to ensure program compliance.

  • Reporting Compliance The Company is subject to, and is in compliance in all material respects with, the reporting requirements of Section 13 and Section 15(d), as applicable, of the Exchange Act.

  • Verifying compliance Microsoft may, in its discretion and at its expense, verify compliance with this Enrollment as set forth in the Enterprise Agreement.

  • FERPA Compliance In connection with all FERPA Records that Contractor may create, receive or maintain on behalf of University pursuant to the Underlying Agreement, Contractor is designated as a University Official with a legitimate educational interest in and with respect to such FERPA Records, only to the extent to which Contractor (a) is required to create, receive or maintain FERPA Records to carry out the Underlying Agreement, and (b) understands and agrees to all of the following terms and conditions without reservation:

  • SOX Compliance The Company has taken all actions it deems reasonably necessary or advisable to take on or prior to the date of this Agreement to assure that, upon and at all times after the Effective Date, it will be in compliance in all material respects with all applicable provisions of the Sxxxxxxx-Xxxxx Act of 2002 and all rules and regulations promulgated thereunder or implementing the provisions thereof. (the “Sxxxxxxx-Xxxxx Act”) that are then in effect and will take all action it deems reasonably necessary or advisable to assure that it will be in compliance in all material respects with other applicable provisions of the Sxxxxxxx-Xxxxx Act not currently in effect upon it and at all times after the effectiveness of such provisions.

  • Monitoring Compliance Upon the request of the Lender, but without incurring any liability beyond the Guaranteed Obligations, from time to time, Guarantor shall promptly provide to the Lender such documents, certificates and other information as may be deemed reasonably necessary to enable the Lender to perform its functions under the Servicing Agreement as the same relates to the Guarantor.

  • Ongoing Compliance (1) If during the Prospectus Delivery Period (i) any event or development shall occur or condition shall exist as a result of which the Prospectus as then amended or supplemented would include any untrue statement of a material fact or omit to state any material fact necessary in order to make the statements therein, in the light of the circumstances existing when the Prospectus is delivered to a purchaser, not misleading or (ii) it is necessary to amend or supplement the Prospectus to comply with law, the Company will promptly notify the Underwriters thereof and forthwith prepare and, subject to paragraph (c) above, file with the Commission and furnish to the Underwriters and to such dealers as the Representatives may designate such amendments or supplements to the Prospectus (or any document to be filed with the Commission and incorporated by reference therein) as may be necessary so that the statements in the Prospectus as so amended or supplemented (or any document to be filed with the Commission and incorporated by reference therein) will not, in the light of the circumstances existing when the Prospectus is delivered to a purchaser, be misleading or so that the Prospectus will comply with law and (2) if at any time prior to the Closing Date (i) any event or development shall occur or condition shall exist as a result of which the Pricing Disclosure Package as then amended or supplemented would include any untrue statement of a material fact or omit to state any material fact necessary in order to make the statements therein, in the light of the circumstances existing when the Pricing Disclosure Package is delivered to a purchaser, not misleading or (ii) it is necessary to amend or supplement the Pricing Disclosure Package to comply with law, the Company will promptly notify the Underwriters thereof and forthwith prepare and, subject to paragraph (c) above, file with the Commission (to the extent required) and furnish to the Underwriters and to such dealers as the Representatives may designate such amendments or supplements to the Pricing Disclosure Package (or any document to be filed with the Commission and incorporated by reference therein) as may be necessary so that the statements in the Pricing Disclosure Package as so amended or supplemented will not, in the light of the circumstances existing when the Pricing Disclosure Package is delivered to a purchaser, be misleading or so that the Pricing Disclosure Package will comply with law.

  • Tax Law Compliance The Company and its subsidiaries have filed all necessary federal, state and foreign income and franchise tax returns or have properly requested extensions thereof and have paid all taxes required to be paid by any of them and, if due and payable, any related or similar assessment, fine or penalty levied against any of them except as may be being contested in good faith and by appropriate proceedings. The Company has made adequate charges, accruals and reserves in the applicable financial statements referred to in Section 1(j) above in respect of all federal, state and foreign income and franchise taxes for all periods as to which the tax liability of the Company or any of its subsidiaries has not been finally determined.

  • CEQA Compliance The District has complied with all assessment requirements imposed upon it by the California Environmental Quality Act (Public Resource Code Section 21000 et seq. (“CEQA”) in connection with the Project, and no further environmental review of the Project is necessary pursuant to CEQA before the construction of the Project may commence.

  • Contract Compliance All individual employee contracts entered into and/or in force during the duration of this Agreement shall be subject to and consistent with Washington State law and the terms and conditions of this Agreement. Any individual employee contract executed shall expressly provide that it is subject to the terms of this and subsequent Agreements between the District and the Association. If any individual employee contract contains any language inconsistent with this Agreement, this Agreement, during its duration, shall be controlling.

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