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 Tauth contracts with a third party billing company to submit claims to the Federal health care programs on behalf of Tauth, Tauth must certify to OIG that [he, she or 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.‌ Tauth also shall obtain (as applicable) a certification from any third party billing company that the company: (1) 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; (2) screens its prospective and current employees against the Exclusion Lists; and (3) 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 Tauth’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 Tauth Qamar contracts with a third party billing company to submit claims to the Federal health care programs on behalf of TauthQamar, Tauth Qamar must certify to OIG that [he, she or 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.‌ Tauth company. Qamar also shall obtain (as applicable) a certification from any third party billing company that the company: (1i) 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; (2ii) screens its prospective and current employees against the Exclusion ListsList; and (3iii) 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 TauthQamar’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 Tauth Gardi contracts with a third party billing company to submit claims to the Federal health care programs on behalf of TauthGardi, Tauth Gardi must certify to OIG that [he, she or 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.‌ Tauth company. Gardi also shall obtain (as applicable) a certification from any third party billing company that the company: (1i) 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; (2ii) screens its prospective and current employees against the Exclusion ListsList; and (3iii) 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 TauthGardi’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 Tauth Xxxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of TauthXxxxxx, Tauth Xxxxxx must certify to OIG that [he, she or 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.‌ Tauth company. Xxxxxx also shall obtain (as applicable) a certification from any third party billing company that the company: (1i) 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; (2ii) screens its prospective and current employees against the Exclusion ListsList; and (3iii) 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 Tauth’s Xxxxxx’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 Tauth Xxxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of TauthXxxxxx, Tauth Xxxxxx must certify to OIG that [he, she or it] 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.‌ Tauth company. Xxxxxx also shall obtain (as applicable) a certification from any third party billing company that the company: (1i) 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; (2ii) screens its prospective and current employees against the Exclusion ListsList; and (3iii) 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. programs.‌‌ If applicable, a copy of these certifications shall be included in Tauth’s 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 Tauth Xxxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of TauthXxxxxx, Tauth Xxxxxx must certify to OIG that [he, she or 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.‌ Tauth company. Xxxxxx also shall obtain (as applicable) a certification from any third party billing company that the company: (1i) 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; (2ii) screens its prospective and current employees against the Exclusion ListsList; and (3iii) 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. programs.‌‌ If applicable, a copy of these certifications shall be included in Tauth’s Xxxxxx’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 Tauth Solomon contracts with a third party billing company to submit claims to the Federal health care programs on behalf of TauthXxxxxxx, Tauth Xxxxxxx must certify to OIG that [he, she or it] 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.‌ Tauth company. Solomon also shall obtain (as applicable) a certification from any third party billing company that the company: (1i) 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; (2ii) screens its prospective and current employees against the Exclusion ListsList; and (3iii) 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 TauthSolomon’s Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Integrity Agreement

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