Administrative Simplification Clause Samples
Administrative Simplification. The Contractor shall comply with the requirements of RCW 70.14.155 and Chapter 48.165 RCW.
Administrative Simplification. Notwithstanding any provision of this Agreement to the contrary, during any period in which no Loan is outstanding the Trustee shall not be required to maintain the Transition Fund, the Suspense Fund, or the Dividend Fund. In the event that no Transition Fund is maintained at any time when an Employer ESOP Contribution is received by the Trustee or a forfeiture arises under the ESOP Feature, the Trustee shall deposit such contribution and hold such forfeiture in the ESOP Fund. In the event that no Dividend Fund is maintained at any time when a dividend is paid with respect to Shares, such dividend shall, subject to the provisions of Section 10.13, be held in the ESOP Fund and credited to the respective Cash Accounts of Participants, former Participants, and Beneficiaries in proportion to the balances of their Stock Accounts as of the record date for such dividend.
Administrative Simplification. The Parties agree to negotiate in good faith to amend this Agreement, when and as necessary, to comply with final rules promulgated pursuant to the Administrative Simplification components of the HIPAA of 1996. If the Parties are unable to reach agreement on the terms of such an amendment within ten (10) business days after receipt by one Party of a proposed amendment for this purpose from the other Party, either party may terminate this Agreement.
Administrative Simplification. The Contractor shall comply with the requirements of RCW 70.14.155 and Chapter 48.165 RCW.
2.43.1 To maximize understanding, communication, and administrative economy among all managed care Contractors, their Subcontractors, governmental entities, and Enrollees, Contractor shall use and follow the most recent updated versions of: • Current Procedural Terminology (CPT) • International Classification of Diseases (ICD) • Healthcare Common Procedure Coding System (HCPCS) • CMS Relative Value Units (RVUs) • CMS billing instructions and rules • NCPDP Telecommunication Standard D.O. • Medi-Span® Master Drug Data Base or other nationally recognized drug data base with approval by HCA.
2.43.2 The Contractor must follow National Correct Coding Initiative (NCCI) policies to control improper coding that leads to inappropriate payments. The Contractor must incorporate compatible NCCI methodologies in its payment systems for processing Medicaid claims. The NCCI editing should occur in addition to current procedure code review and editing by the Contractor’s claims payment systems.
2.43.3 In lieu of the most recent versions, Contractor may request an exception. HCA’s consent thereto will not be unreasonably withheld.
2.43.4 Contractor may set its own conversion factor(s), including special code-specific or group-specific conversion factors, as it deems appropriate.
Administrative Simplification. The Contractor shall comply with the requirements of RCW 70.14.155 and Chapter 48.165 RCW.
2.41.1 To maximize understanding, communication, and administrative economy among all Contractors, their Subcontractors, governmental entities, and Consumers, Contractor shall use and follow the most recent updated versions of:
2.41.1.1 Current Procedural Terminology (CPT).
2.41.1.2 International Classification of Diseases (ICD).
2.41.1.3 Healthcare Common Procedure Coding System (HCPCS).
2.41.1.4 The Diagnostic and Statistical Manual of Mental Disorders.
2.41.1.5 National Council for Prescription Drug Programs (NCPDP) Telecommunication Standard D.O.
Administrative Simplification. The Contractor shall comply with the requirements of RCW 70.14.155 and Chapter 48.165 RCW.
2.43.1 To maximize understanding, communication, and administrative economy among all managed care Contractors, their Subcontractors, governmental entities, and Enrollees, Contractor shall use and follow the most recent updated versions of: • Current Procedural Terminology (CPT) • International Classification of Diseases (ICD) • Healthcare Common Procedure Coding System (HCPCS) • CMS Relative Value Units (RVUs) • CMS billing instructions and rules • NCPDP Telecommunication Standard D.O. • Medi-Span® Master Drug Data Base
2.43.2 In lieu of the most recent versions, Contractor may request an exception. HCA’s consent thereto will not be unreasonably withheld.
2.43.3 Contractor may set its own conversion factor(s), including special code-specific or group-specific conversion factors, as it deems appropriate.
Administrative Simplification. The Contractor shall comply with the requirements of RCW 70.14.155 and Chapter 48.165 RCW. 2.42.1 To maximize understanding, communication, and administrative economy among all managed care Contractors, their Subcontractors, governmental entities, and Enrollees, Contractor shall use and follow the most recent updated versions of: • Current Procedural Terminology (CPT) • International Classification of Diseases (ICD) • Healthcare Common Procedure Coding System (HCPCS) • CMS Relative Value Units (RVUs) • CMS billing instructions and rules • NCPDP Telecommunication Standard D.O. • Medi-Span® Master Drug Data Base
Administrative Simplification. The Contractor shall comply with the requirements of RCW 70.14.155 and chapter 48.165 RCW.
2. 44.1 To maximize understanding, communication, and administrative economy among all Health Plans, their Subcontractors, governmental entities, and Enrollees, Contractor shall use and follow the most recent updated versions of:
2.44.1.1 Current Procedural Terminology (CPT);
2.44.1.2 International Classification of Diseases (ICD);
2.44.1.3 Healthcare Common Procedure Coding System (HCPCS);
2.44.1.4 CMS Relative Value Units (RVUs);
2.44.1.5 CMS billing instructions and rules;
2.44.1.6 The Diagnostic and Statistical Manual of Mental Disorders;
2.44.1.7 NCPDP Telecommunication Standard D.0; and
Administrative Simplification. The Contractor shall comply with the requirements of RCW 70.14.155 and Chapter 48.165 RCW. 2.42.1 To maximize understanding, communication, and administrative economy among all Contractors, their Subcontractors, governmental entities, and Individuals, Contractor shall use and follow the most recent updated versions of:
Administrative Simplification. Business Associate agrees to the administrative responsibilities imposed on business associates as set forth in 45 C.F.R. §160.310 and to refrain from intimidation or retaliation as set forth in 45 C.F.R. §160.316.