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 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 Monos, Ltd., 215, and Lipshutz, Monos, Ltd., 215, and Xxxxxxxx must certify to OIG that 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. Monos, Ltd., 215, and Xxxxxxxx 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 List; 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 Monos, Ltd., 215, and Xxxxxxxx’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 Monos, Ltd., 215, and/or Xxxxxxxx contract Xxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of MonosXxxxx, Ltd., 215, and Lipshutz, Monos, Ltd., 215, and Xxxxxxxx Xxxxx must certify to OIG that it/he does 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. Monos, Ltd., 215, and Xxxxxxxx Xxxxx 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 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; (2ii) 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 (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 Monos, Ltd., 215, and Xxxxxxxx’x Xxxxx’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 MonosIA, Ltd., 215, and/or Xxxxxxxx contract 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 MonosXx. Xxxxxx-Xxxxxx D.P.M., Ltd., 215, and Lipshutz, Monos, Ltd., 215, and Xxxxxxxx Xx. Xxxxxx-Xxxxxx D.P.M. must certify to OIG that it/he 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. Monos, Ltd., 215, and Xxxxxxxx Xx. Xxxxxx-Xxxxxx D.P.M. 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 List; 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 Monos, Ltd., 215, and Xxxxxxxx’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

Third Party Billing. ‌‌‌ If, prior to the Effective Date or at any time during the term of this IA Monos, Ltd., 215, and/or Xxxxxxxx contract Xxxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of MonosXxxxxx, Ltd.Xxxxxx X. Xxxxxx, 215D.O., Xxxxx Xxxxxx, Dermatology Healthcare, LLC, and LipshutzXxxxxx X. Xxxxxx, MonosD.O., Ltd., 215, and Xxxxxxxx P.A. must certify to OIG that it/he does 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. Monos, Ltd., 215, and Xxxxxxxx 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 List; 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 Monos, Ltd., 215, and Xxxxxxxx’x 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 Monos, Ltd., 215, and/or Xxxxxxxx contract Xxxxxx contracts with a third party billing company to submit claims to the Federal health care programs on behalf of MonosXxxxxx, Ltd.Xxxxxx X. Xxxxxx, 215D.O., Xxxxx Xxxxxx, Dermatology Healthcare, LLC, and LipshutzXxxxxx X. Xxxxxx, MonosD.O., Ltd., 215, and Xxxxxxxx P.A. must certify to OIG that it/he does 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. Monos, Ltd., 215, and Xxxxxxxx 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 List; 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 Monos, Ltd., 215, and Xxxxxxxx’x Norman’s Implementation Report and each Annual Report required by Section V below.

Appears in 1 contract

Samples: Integrity Agreement

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