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8781-14 Authorize Agreement betweenWestshore COG and MetroHealth
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8781-14 Authorize Agreement betweenWestshore COG and MetroHealth
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4/30/2015 10:24:46 AM
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D. Client shall be responsible for all internal credentialing and privileging necessary and <br />applicable to the Licensed Professional's practice on Client's premises. <br />E. Provider shall be responsible for all billing to health insurance or other reimbursement <br />sources as appropriate for the health care services rendered by the Licensed Professionals <br />to Client's patients. <br />Section V. Fees; Payment Terms. <br />Client is not obligated to pay Provider any fees for the services under this Agreement. <br />Section VI. Certifications, Representations, Warranties. <br />A. Provider represents and warrants that: <br />(1) Each Licensed Professional is qualified and carries all required and applicable <br />state and Federal licenses to practice; <br />(2) Each Licensed Professional's license to practice has never been suspended or <br />revoked, and Licensed Professional has not received any other sanctions from any <br />licensing board, specialty board, or applicable state or local professional society; <br />has not been denied membership or re- appointment to any applicable professional <br />staff, and Licensed Professionals applicable practice privileges have never been <br />suspended, curtailed, or revoked. <br />B. Each party certifies and warrants, to the best of the party's knowledge, the following with <br />regards to itself, its employees, and its agents (each an "Individual "): <br />(1) No Individual is barred from participation in any state or federally funded <br />programs or on any list of such barred individuals, including but not limited to: <br />(a) The list of excluded individuals and entities maintained by the Office of <br />Inspector General for the United States Department of Health and Human <br />Services ( "Excluded List "); and <br />(b) The System of Award Management ( "SAM ") maintained by the Federal <br />government. <br />At least once annually, each party shall screen employees against the Excluded <br />List and the SAM. <br />(2) No Individual is on any state or federal anti - terror or other exclusion lists or <br />involved in any related investigations; <br />
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