Services

 

TERMS & CONDITIONS

 

 

 

1. MEDICAL BILLING SERVICES.

 

Client hereby expressly authorizes Billing NEMT to prepare, process and submit claims to commercial and government payors.

Billing NEMT will apply its best efforts to obtain reimbursement for Client’s charges for all medical services provided to patients.

All such claims shall be submitted by Billing NEMT in the Client’s name and utilize provider numbers assigned to the Client by

the respective third party payor. Claims will be submitted either electronically or by means of paper submission as directed by

the third party payor. Payment of all claims filed on behalf of Client shall be directed to such accounts to which Client has control

as may be required by third party payors. 

 

2. CLIENT RESPONSIBILITIES

 

2.1. Reasonable Assistance.

Client agrees to provide Billing NEMT with all necessary records, information and assistance to enable Billing NEMT to provide such Services.

The client also agrees to promptly provide Billing NEMT all copies of all Explanation of Benefits forms received from third party payors as well

as records of payments received directly from patients.

 

2.2. Systems Access.

Client hereby grants to Billing NEMT the right to use their  practice management software to facilitate the submission of medical claims.

All patient information and data provided by the Client to Billing NEMT shall be kept confidential and shall only be disclosed to parties

necessary to successfully process and submit claims on behalf of the Client.

 

2.3. Client Acknowledgement.

Client acknowledges and agrees to the following:

 

2.3.1. The ultimate responsibility for all claims submitted is that of the Client. Client shall be responsible for maintaining all original source documents

to enable it to verify and document the claims submitted to third party payors. Billing NEMT shall have no liability or responsibility whatsoever

regarding the accuracy or completeness of the coding or determinations regarding medical necessity.

 

3. FEES

 

3.1. Setup Costs.

There is no charge for the initial set up of the medical billing services.

 

3.2. Net Collections.

Client shall pay Billing NEMT for medical billing services based on its total dollar amount of monthly net collections. Client agrees to pay

Billing NEMT a flat  rate of 4% of monthly net collections. Past due A/R collection services will be charged at the same rate.

 

3.3. Terms of Payment.

Billing NEMT shall invoice Client   each month for the Services by electronic or US mail. The invoice will summarize the total amount due based on

the net collections for one month  being invoiced. Payments are due within seven (07) days of receipt of invoice. There is no late fee charges .

 

3.4. Disputed Fees.

Should Client dispute any portion of the invoice, Client must notify Billing NEMT within seven (07) days of the date of invoice. Failure to notify

Billing NEMT within this time-frame shall be deemed acceptance to pay Billing NEMT in full for the invoice. Payment of invoice shall also

be deemed as acceptance of charges.

 

 

 

4. TERM AND TERMINATION

 

4.1. Term.

There is NO term binding . The terminating party is responsible to provide a fifteen (15) day written notice to the other party along with an

explanation for termination.

 

4.2. Rights on Termination. Upon termination, Client shall be required to pay all fees accrued as of the date of termination plus any claims or

charges that are pending or in-transit.

 

6. LIMITATIONS OF WARRANTY AND LIABILITY

 

6.1. Limited Warranty. Other than the foregoing limited warranty, all Services are provided "as is", without any warranty whatsoever,

whether express or implied, including but not limited to the warranties of merchantability and fitness for a particular purpose.

 

6.2. Limitation of Liability.

 

6.2.1. Client hereby agrees to indemnify and hold Billing NEMT and its owners, directors, employees and contractors harmless

from and against any and all liability, claims, causes of action, damages, fines, assessments, penalties,

costs (including reasonable attorney fees) and responsibility of any kind arising from the performance or non-performance

of this agreement or any acts or omissions associated. Client shall hold Billing NEMT and its owners, directors, employees

and contractors harmless from and against any claims submitted on behalf of and in the name of the Client for which client

has provided Billing NEMT false, fraudulent, incomplete, misleading, or otherwise incorrect information or data, including

but not limited to, the coding of claims pursuant to Section 2.1 above.

 

6.2.2. To the maximum extent permitted by applicable law, in no event shall either party be liable for special, indirect, incidental,

punitive or consequential damages, whether arising under contract, warranty, or tort (including negligence or strict liability)

or any other theory of liability.

 

6.2.3. The submission of false, fraudulent or misleading data, information, or statements to the government and/or commercial

third party payors in connection with health insurance coding, billing and claims submission is a crime and can subject the violator

to imprisonment and fines.