Third Party Reimbursement. If the Service Provider or any Service Provider Employee is being audited or has been audited by Medicare, Medicaid, CHAMPUS or CHAMPVA or similar governmental Third Party Payors: (a) none of such audits provides for adjustments in reimbursable costs or assets, claims for reimbursement or repayment by the Service Provider or any Service Provider Employee of costs and/or payments theretofore made by such governmental Third Party Payor that, if adversely determined, could reasonably be expected to have or result in a Material Adverse Effect; and (b) neither the Service Provider nor any Service Provider Employee has had requests or assertions of claims for reimbursement or repayment by it, or him or her, as the case may be, of costs and/or payments heretofore made by any other Third Party Payor that, if adversely determined, could reasonably be expected to have or result in a Material Adverse Effect.
Appears in 1 contract
Sources: Practice Management Agreement (Physician Health Corp)
Third Party Reimbursement. If the Service Provider Practice or any Service Provider Practice Employee is being audited or has been audited by Medicare, Medicaid, CHAMPUS or CHAMPVA or similar governmental Third Party Payors:
(a) none of such audits provides for adjustments in reimbursable costs or assets, claims for reimbursement or repayment by the Service Provider Practice or any Service Provider Practice Employee of costs and/or payments theretofore made by such governmental Third Party Payor that, if adversely determined, could reasonably be expected to have or result in a Material Adverse Effect; and
(b) neither the Service Provider Practice nor any Service Provider Practice Employee has had requests or assertions of claims for reimbursement or repayment by it, or him or her, as the case may be, of costs and/or payments heretofore made by any other Third Party Payor that, if adversely determined, could reasonably be expected to have or result in a Material Adverse Effect.
Appears in 1 contract
Sources: Practice Management Agreement (Physician Health Corp)