Reporting and Billing Clause Samples

Reporting and Billing. A. Sub-Recipient shall provide regular reports as designed; B. Sub-Recipient shall submit a monthly reimbursement invoice no later than the fifth day of the month following the month in which the expenditures were incurred.

Reporting and Billing. A. Contractor shall provide regular reports as designed; B. The Contractor shall submit monthly reimbursement via the Monthly Expenditures Report, separating out this contract spending from other LHDs CCP Project spending.

Reporting and Billing. No Company does, nor is any Company required to, file reports or bills with third-party payors in connection with the Business.

Reporting and Billing. The Seller Parties have timely filed all reports and billings required to be filed with respect to each Customer or Third-Party Payor, all of which were prepared in material compliance with all applicable Laws governing reimbursement and claims and the payment policies of the applicable Customer or Third-Party Payor. All claims submitted by each Seller in the four (4) years preceding the Closing were for goods actually sold and services actually performed by such Seller to eligible patients in accordance with the applicable payment rates of the applicable Third-Party Payor Program, and such Seller has sufficient documentation that is required to support such billings. The Seller Parties have paid all known and undisputed refunds, overpayments, discounts and adjustments due with respect to any such report or billing, and there is no pending or, to the Seller Parties’ Knowledge, threatened appeal, adjustment, voluntary refund, challenge, audit (including written notice of an intent to audit), inquiry or litigation by any Customer or Third-Party Payor with respect to the Seller Parties’ billing (g) Fraud and Abuse. Each Seller and, with respect to such Seller’s businesses, their Control Persons, Personnel and authorized representatives are operating and, since December 31, 2017, have operated in material compliance with the federal health care program anti-kickback statute (42 U.S.C. § 1320a-7b, et seq.), the federal physician self-referral law (commonly known as the ▇▇▇▇▇ Law) (42 U.S.C. § 1395nn, et seq., and its implementing regulations, 42 C.F.R. Subpart J), and all other applicable Laws with respect to direct and indirect compensation arrangements, ownership interests or other relationships between such Person and any past, present or potential patient, physician, supplier, contractor, Third-Party Payor, a Referral Source or a Referral Recipient. None of each Seller and its Control Persons, or to the Seller’s Knowledge Personnel or authorized representatives has, directly or indirectly (i) offered or paid any remuneration (in cash or in kind) to or made any financial arrangements with any Referral Source to obtain any patient referrals or other business or payments from any such Person, (ii) received or solicited any remuneration (in cash or in kind) from or made any financial arrangements with any Referral Recipient to make or deliver any patient or other health care business referrals, (iii) given or agreed to give any gift or gratuitous payment (in ca...

Reporting and Billing a. Participate in weekly and ad hoc status meetings and reviews with CCSE and internal teams. b. Accurately manage and track CCSE’s budget, providing accurate and timely monthly billing and accrual reports.

Reporting and Billing. The Relevant Entities have (i) timely filed all material reports and b▇▇▇▇▇▇▇ required to be filed with respect to each Third Party Payor Program and have billing practices that are in material compliance with all applicable Laws governing reimbursement and claims, (ii) paid all known and undisputed refunds, overpayments, discounts and adjustments due with respect to any such report or billing. There is no pending or, to the Knowledge of the Company, threatened appeal, adjustment, challenge, audit (including written or, to the Company’s Knowledge, other notice of an intent to audit), inquiry (excluding routine billing reconciliations and reviews in the ordinary course of business) or Action by any Third Party Payor Program with respect any Relevant Entity’s billing practices and reimbursement claims, other than those refunds, overpayments, discounts and adjustments reflected, accrued, or reserved in the Latest Balance Sheet (including as disclosed as footnotes thereto), and (iii) never since the Reference Date been audited or otherwise examined by any Third Party Payor Program other than in the ordinary course of business. All reports, b▇▇▇▇▇▇▇ and claims submitted by the Acquired Companies to a Third Party Payor Program since the Reference Date were submitted in material compliance with all applicable Healthcare Laws governing reimbursement and claims and the payment policies and manuals of the applicable Third Party Payor Program, were for goods actually sold and services actually performed by the billing Relevant Entity to eligible patients in accordance with the applicable Third Party Payor Program Contracts, policies, manuals and payment rates, and the Relevant Entities have sufficient documentation supporting such b▇▇▇▇▇▇▇ and claims. The Relevant Entities collect copayments, deductibles and other patient financial responsibilities in compliance in all material respects with applicable Healthcare Laws. The Relevant Entities have not been the subject of any Recovery Audit Contractor audits, Medicaid Integrity Program audits, Zone Program Integrity Contractor audits, or other reviews or audits with respect to any Government Healthcare Program since the Reference Date.

Reporting and Billing