Governmental Payors definition

Governmental Payors has the meaning ascribed thereto in Section 8.01(B). “Implementing CMO” has the meaning ascribed thereto in Section 1.04(A).
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Governmental Payors means Medicare, Medicaid, CHAMPUS, CHAMPVA, TRICARE, Veteran’s Administration or any other Governmental Authority or quasi-public agency providing funding for healthcare services.
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Governmental Payors has the meaning ascribed thereto in Section 13.01(B). “Illinois Coordinated Court” has the meaning ascribed thereto in Recital A.
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Examples of Governmental Payors in a sentence

  • There has been no intentional overbilling or overcollection pursuant to any Governmental Payor Arrangements or Third Party Payor Arrangement other than as created by routine adjustments and disallowances made in the ordinary course of business by the Governmental Payors and Third Party Payors with respect to such b▇▇▇▇▇▇▇.

  • Each Program Participant and her counsel represent and warrant that they will use best efforts and reasonable diligence to identify such Governmental Payors.

  • The PNC and Daiichi Sankyo shall jointly select a Lien Resolution Administrator to assist Program Participants in resolving Liens that are or may be asserted by Governmental Payors or Private Payors against Settlement Payments made to Program Participants in connection with the Program, and to provide assurances to Daiichi Sankyo and Forest that such Liens have been resolved prior to Settlement Payments.

  • The Government Depository Account will be the only account into which Government Receivables will be deposited and all Governmental Payors will be directed to remit all Government Receivables for deposit in the Government Depository Account.

  • Claimant and her counsel represent and warrant that they will use best efforts and reasonable diligence to identify such Governmental Payors.

  • The PSRC and Takeda shall jointly select a Lien Resolution Administrator to assist Program Participants in resolving Liens that are or may be asserted by Governmental Payors or Private Payors against Settlement Payments made to Program Participants in connection with the Program, and to provide assurances to Takeda that such Liens have been resolved prior to Settlement Payments.

  • I acknowledge and understand that Program Participants are required to identify all actual or potential insurers and all known third-party claimants with subrogation or reimbursement interests related to the released injuries (pursuant to any applicable state law or contractual terms) that are not Governmental Payors.

  • Each Program Participant and her counsel represent and warrant they will use best efforts and reasonable diligence to identify such Governmental Payors.

  • Each Seller has all material Permits that are necessary to enable the Sellers to own or lease the Assets owned or leased by them and to carry on the Business as presently conducted at the Centers, and to receive payment from Governmental Payors and Third Party Payors for furnishing dialysis treatments and related products and services at the Centers, including, without limitation, Governmental Payor provider or Supplier numbers.

  • Except as set forth on Schedule 4.26, as of the Closing Date, no Credit Party is a party to any contract or agreement with any Governmental Payors and no Credit Party’s Accounts are subject to the Federal Assignment of Claims Act (31 U.S.C. Section 3727) or any similar state or local law.


More Definitions of Governmental Payors

Governmental Payors means any federal, state, or other governmental body, agency, department, plan, program, or entity that administers, funds, pays, contracts for, or provides medical items, services, and/or prescription drugs. These include the federal Medicare fee-for-service (Parts A and B) program administered by the Centers for Medicare and Medicaid Services (“CMS”), the Office of Financial Management, and its respective recovery contractors; the Medicaid programs (including Medicaid Managed Care Organizations/Plans) of each state and territory and of the District of Columbia, and their respective recovery contractors, including but not limited to, Health Management Systems; the U.S. Department of Veterans’ Affairs, by and through its Office of General Counsel, and/or its Revenue Law Group; the Defense Health Agency (previously managed by TRICARE) and/or the respective Medical Cost Recovery Units of the Judge Advocate General’s Corps for the Air Force, Army, Navy, and Coast Guard, respectively; and Indian Health Services.
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Governmental Payors means any Account Debtor that is the United States government or a political subdivision thereof, or any state, county or municipality or department or agency thereof excluding (i) CMS, and (ii) any publicly owned health care services providers, including, but not limited to, state or county-owned hospitals and their affiliates. “Guarantor” means any Person that has guaranteed any Obligations. “Guaranty and Security Agreement” means that certain Guaranty and Security Agreement, dated as of even date herewith, made by the Credit Parties in favor of Agent, for the benefit of the Secured Parties. “Hazardous Material” means any substance, material or waste that is classified, regulated or otherwise characterized under any Environmental Law as hazardous, toxic, a contaminant or a pollutant or by other words of similar meaning or regulatory effect, including petroleum or any fraction thereof, asbestos, per- and polyfluoroalkyl substances, polychlorinated biphenyls, and radioactive substances. “Health Care Laws” means all Requirements of Law at any time applicable to each respective Credit Party’s and/or its respective Subsidiaries’ health care services and/or arrangements with individuals and entities providing health care services (as applicable), including Requirements of Law relating to (a) fraud and abuse (including the following statutes, as amended, modified or supplemented from time to time and any successor statutes thereto and regulations promulgated from time to time thereunder: the federal Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b)); the civil False Claims Act (31 U.S.C. § 3729 et seq.); Sections 1320a-7 and 1320a-7a and 1320a-7b of Title 42 of the United States Code); (b) the licensure or regulation of healthcare providers, suppliers, professionals, facilities or payors; (c) Privacy and Security Laws; (d) laws regulating the provision of free or discounted care or services; and (e) any and all other applicable federal, state or local health care laws, rules, codes, statutes, regulations, manuals, orders, ordinances, administrative guidance and requirements, as the same may be amended, modified or supplemented from time to time, and any successor statute thereto.
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Governmental Payors means Medicare and Medicaid.
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Governmental Payors has the meaning ascribed thereto in Section 12.0l(B).
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Related to Governmental Payors

  • Intra-governmental gift means any gift given to a Board member or employee from another Board member or employee, and "inter- governmental gift" means any gift given to a Board member or employee from an officer or employee of another governmental entity.

  • Governmental Bar Date means the date established pursuant to the Bar Date Order by which Proofs of Claim of Governmental Units must be Filed.

  • Governmental Plan and "separate account" shall have the respective meanings assigned to such terms in Section 3 of ERISA.

  • Health Care Permits means any and all permits, licenses, authorizations, certificates, certificates of need, accreditations and plans of third-party accreditation agencies that are (a) necessary to enable any Borrower to operate any health care facility or participate in and receive payment under any Government Reimbursement Program or other Third Party Payor Arrangement, as applicable, or otherwise continue to conduct its business as it is conducted on the Closing Date, or (b) required under any Health Care Law.

  • Environmental, Health or Safety Requirements of Law means all Requirements of Law derived from or relating to foreign, federal, state and local laws or regulations relating to or addressing pollution or protection of the environment, or protection of worker health or safety, including, but not limited to, the Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. § 9601 et seq., the Occupational Safety and Health Act of 1970, 29 U.S.C. § 651 et seq., and the Resource Conservation and Recovery Act of 1976, 42 U.S.C. § 6901 et seq., in each case including any amendments thereto, any successor statutes, and any regulations or guidance promulgated thereunder, and any state or local equivalent thereof.