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RCM Services

BILLING AND COLLECTIONS SERVICES TERMS AND CONDITIONS


 

These Billing and Collection Services Terms and Conditions are incorporated into and made part of the Agreement (as defined in the Order Form executed by the parties). Terms not defined herein shall have the definitions set forth in the Order Form or the applicable Service-Specific Terms and Conditions. 

 

 

 

EXHIBIT A

Services and Prompt Obligations

 

  1. RCM Base Services. To the extent the parties have entered into an Order Form pursuant to which Prompt has agreed to provide RCM Base Services to Customer, Prompt will provide the following revenue cycle management services (the “RCM Base Services”):

    1. Submission of Billing.  

      1. Prompt will use commercially reasonable efforts to prepare and submit billing statements and claims with respect to Accounts Receivable generated up to thirty (30) days before, or any time on or after, the Go-Live Date. Prompt will submit claims electronically when available.

      2. Prompt will file insurance claims for charges entered either electronically or via paper, at Prompt’s discretion.

      3. Prompt will submit/send industry standard claims to a maximum of two (2) insurance companies per patient, primary and secondary, for covered or authorized professional services rendered by Customer during the Term. Additional primary and/or secondary insurance companies may be billed if a patient’s coverage changes during the course of treatment or there is a break in service of more than thirty (30) days. 

      4. Prompt may utilize third-party electronic submission vendors, including Jopari for workers’ compensation claims when available. Jopari fees shall be borne by Prompt. All UB04 claim submissions have a fee of $0.25 per claim (or such updated amount as documented by Prompt) which will be charged to Customer. 

      5. When electronic statement delivery is available, Prompt will submit statements electronically at no additional fee. If Customer requests paper statements through Prompt, Customer shall be responsible for applicable third-party mailing vendor fees.

    2. Collection of Accounts Receivable.

      1. Pursuant to the terms of this Agreement, Prompt will use commercially reasonable efforts to bill and collect the Accounts Receivable on behalf of Customer through the billing, tracking, rebilling, follow-up and collection activities relating to such accounts. Such activities will be performed based on information available within the PTS EMR System and documentation provided by Customer.

      2. Prompt shall not be responsible for billing or collecting any Accounts Receivable for professional services rendered by Customer prior to the Go-Live Date unless mutually agreed upon in writing by the parties.

      3. Prompt will address claims processing errors with insurance companies using the most cost-effective methods and best practices as deemed appropriate by Prompt. This may include re-billing, telephone re-processing, combined appeals, and the submission of medical records for payment.

      4. Prompt may contact Customer to discuss any collection issues when Prompt determines it is appropriate and practical to do so. 

      5. Prompt will use commercially reasonable efforts to prepare and send to appropriate third parties (whether patients or Payors) billing statements with respect to Accounts Receivable.  When available, Prompt will submit these statements electronically for no additional fee. Customer has the right to mail paper statements on their own accord. If Prompt is requested to submit paper statements, Customer will be responsible for the fees associated by using the ETactics service.

      6. Prompt does not guarantee collection outcomes, reimbursement amounts, or Payor determinations.

    3. Payment Posting.  

      1. Prompt will use commercially reasonable efforts to post payments, contractual and non-contractual adjustments, and other transactions necessary to reconcile Accounts Receivable balances based on remittance data received from Payors or documentation provided by Customer. 

      2. Prompt will use electronic remittance data when available. Manual posting may be performed where necessary based on information provided.

      3. Prompt will not accept or take possession of any payment on behalf of Customer.

    4. Claim Rejection Processing.

      1. Prompt will use commercially reasonable efforts to verify and follow up on rejected claims, including by verifying demographics and insurance information contained within the PTS EMR System

      2. If rejections arise from incomplete or inaccurate Customer-provided information, Prompt shall notify Customer for correction and resubmission.

  2. Enrollment Services. Unless Customer has informed Prompt in writing that it does not want Prompt to provide the Enrollment Services, Prompt will provide the Enrollment Services in accordance with the Service-Specific Terms and Conditions applicable to such Enrollment Services.

  3. Benefit Verification Services. To the extent the parties have entered into an Order Form, or another written agreement, pursuant to which Prompt has agreed to provide Benefit Verification Services to Customer, Prompt will provide the following benefit verification services (the “Benefit Verification Services”):

    1. Perform insurance benefit verification services for patients for whom Customer has populated complete and accurate patient demographic and Payor information in the PTS EMR System. Prompt may use any of the following methods to conduct such benefit verification services, at Prompt’s discretion: direct Payor portal access, telephone outreach, and/or EDI-based eligibility tools;

    2. Perform such Benefit Verification Services within a commercially reasonable timeframe after patient information is entered or updated by Customer in the PTS EMR System;

    3. Record relevant benefit and coverage details obtained during the verification process in the patient’s insurance profile and/or billing case notes within the PTS EMR System; and 

    4. Notify Customer through the PTS EMR System if any discrepancies, missing information, or follow-up items are identified during the benefit verification process.

  4. Payor Authorization Services. To the extent the parties have entered into an Order Form, or another written agreement, pursuant to which Prompt has agreed to provide Payor Authorization Services to Customer, Prompt will provide the following payer authorization services (the “Payor Authorization Services”):

    1. Serve as the central point of contact for all Payor authorization inquiries and updates;

    2. Monitor and adhere to Payor-specific turnaround times, proactively addressing any delays;

    3. Provide status of Payor authorizations transparently within the patient's record or billing case notes;

    4. Maintain a current matrix to reflect differences in Payor authorization requirements by Payor, state, and visit type; and

    5. Track and report on the following performance indicators:

      1. Average time from intake to authorization approval.

      2. Denial rates attributed to missing or late authorizations.

      3. Volume of authorizations processed, categorized by payer and clinic.

 

  1. Back Claims ServicesTo the extent the parties have entered into an Order Form, or another written agreement, pursuant to which Prompt has agreed to provide Back Claims Services to Customer, Prompt will provide the Back Claims Services in accordance with the Service-Specific Terms and Conditions applicable to such Back Claims Services.

  2. Business Coaching ServicesTo the extent the parties have entered into an Order Form, or another written agreement, pursuant to which Prompt has agreed to provide Business Coaching Services to Customer, Prompt will provide the Business Coaching Services in accordance with the Service-Specific Terms and Conditions applicable to such Business Coaching Services.

  3. Refunds.  Prompt will notify Customer of any refunds requested from Payors or patients. Customer is responsible for issuing any refund due.

 

 

 

 

EXHIBIT B

Customer Obligations

In addition to the obligations otherwise set forth in the Agreement, in connection with Prompt’s provision of the Services, Customer shall be responsible for the following:

  1. Providing Prompt with full, timely, and ongoing access to all systems necessary to perform the Services, including Payor portals, enrollment systems, EFT/ERA systems, bank accounts (as applicable), and a Prompt-authorized clearinghouse. Customer will promptly revoke or remove Prompt’s access to these systems upon termination of the Agreement, as appropriate.

  2. Fulfilling its responsibilities by:

    1. Completing and maintaining all credentialing, enrollment, EDI, EFT, and ERA requirements;

    2. Configuring EFTs and receiving Payor payments;

    3. Using only Prompt-approved clearinghouses and integrated card processors;

    4. Executing documents reasonably required by Prompt or its vendors;

    5. Complying with all PTS EMR System requirements and maintaining records in the standardized format required by Prompt.

  3. Responding promptly to Prompt requests for missing or supporting information. 

  4. Resolving any credentialing or enrollment deficiencies leading to claim denials. Customer shall notify Prompt in writing within one (1) business day following resolution of each such deficiency.

  5. Ensuring that Prompt is provided with all necessary and complete records and information from which to submit claims, or otherwise provide the Services, in a timely manner. Such records and information shall be maintained and provided to Prompt through the standardized format provided through the PTS EMR System. Customer will ensure that it complies with the requirements and terms and conditions of the PTS EMR System at all times.

  6. Cooperating with Prompt as may be necessary (including providing documentation or other information that may be requested by Prompt from time to time) to permit Prompt to perform its duties hereunder.

  7. Ensuring the accuracy and completeness of all claims and for ensuring the medical necessity and appropriateness of the services Customer renders for which a claim will be submitted, and for any and all liabilities arising therefrom.

  8. Utilizing only a Prompt-approved third-party integrated card processor administered through Prompt’s sales vendor (“Prompt Integrated Card Processor”) to accept credit card payments. 

  9. Reviewing and executing any documents, contracts or agreements requested by Prompt, Prompt Integrated Card Processor, any Subcontractor, or any other party whose services are utilized to perform the Services.

  10. All coding of claims, including without limitation clinical documentation, diagnosis coding, procedure coding, charge capture, modifier usage, claim content, and coding-related compliance.

  11. All credentialing and enrollment obligations, including as follows:

    1. Ensuring that all applicable credentialing and enrollment activities are completed and kept current for Customer and all personnel or parties providing services on Customer’s behalf. Any claims denied due to credentialing or enrollment issues will be placed on hold, and Prompt will not make any resubmissions or collection efforts on such claims until these issues are resolved. Customer shall notify Prompt in writing within one (1) business day following the resolution of such credentialing and/or enrollment issues to enable the resubmission of claims. Customer acknowledges that delays in resolving credentialing and/or enrollment issues may result in claim submission past the timely filing limit, which may lead to permanent denial. In such cases, Prompt will not be held responsible for any reimbursement or financial liability related to claims denials related to Customer’s credentialing or enrollment deficiencies.

  12. Unless the parties have entered into an Order Form, or another written agreement, pursuant to which Prompt has agreed to provide Benefit Verification Services and/or Payor Authorization Services to Customer, Customer is responsible for all patient eligibility verification and payor authorization-related services, including, but not limited to, the following:

    1. Eligibility Verification: 

      1. Verifying benefits and eligibility to confirm that services Customer intends to render are covered and authorized by the applicable Payor. 

      2. If Prompt is providing Benefit Verification Services, Customer will respond promptly to requests for missing or supporting information for Prompt to complete verification. Customer will also provide accurate and complete patient demographics, insurance information, and required documentation. 

    2. Monitoring Visits and Caps: 

      1. Tracking the maximum number of visits and/or reimbursement caps allowed by the applicable Payor, which is essential for timely claim payment and avoiding unexpected increases in the patient’s out-of-pocket expenses.

      2. If Prompt is providing Benefit Verification Services, Customer will respond promptly to requests for missing or supporting information.

    3. Handling Denials: 

      1. Addressing any denials due to patient ineligibility Prompt will not be liable for claims denied because of Customer’s failure to verify patient eligibility, authorization or correct insurance information. Customer is responsible for correcting the information, and providing the information to Prompt to continue working the claim when updated information is available. 

      2. If Prompt is providing Benefit Verification Services, Customer will notify Prompt of any schedule changes, new procedures, or updates that may impact authorizations.

    4. Coverage Verification and Documentation: 

      1. Verifying coverage on all plans and tracking prior authorization approvals and insurance limits. Customer must provide Prompt with all relevant documentation, including up-to-date and accurate copies of insurance cards, prescriptions, signed payment schedules, signed claim forms, and any other pertinent information necessary for maximum reimbursement.

      2. If Prompt is providing Benefit Verification Services, after Prompt has verified coverage, Customer is responsible for obtaining and tracking prior authorization approvals and insurance limits.  Customer must provide Prompt with all relevant documentation, including up-to-date and accurate copies of insurance cards, prescriptions, signed payment schedules, signed claim forms, and any other pertinent information necessary for maximum reimbursement.

      3. Customer acknowledges that: (i) incomplete or inaccurate data may result in delays or denials for which Prompt will not be held responsible, and (ii) any alerts or reports provided by Prompt regarding eligibility, authorizations, or other front-office-related matters are informational only and do not transfer operational responsibility to Prompt.

  13. Maintaining all original source documentation as necessary to enable verification and/or documentation of any claims submitted to Payors.

  14. Complying with all applicable policies and procedures provided by Prompt.

  15. Using the auto-posting and auto-billing features in the PTS EMR System. Customer will not turn off such functionality, nor request Prompt to do so. 

  16. Accepting and managing communications from and responding to patients’ inquiries related to patient statements and outstanding balances.

  17. Any bank reconciliation Customer elects to perform.

  18. Collecting and delivering to Prompt up-to-date contact information for each of Customer’s customers, including email address, mailing address, and phone number.

  19. Obtaining proper authorization from Customer’s customers to allow Prompt to send statements to Customer’s customers in paper or electronic format, via mail, SMS, or email, at Prompt’s sole discretion.

  20. Taking all reasonable steps to enable Prompt to send electronic statements in lieu of paper statements to Customer’s customers, including but not limited to utilizing a Prompt-approved vendor to convert electronic statements to paper statements at Customer’s expense.

  21. Use Payor electronic payment options if available. If a Payor offers an electronic payment option, Customer will enroll in such option. For Payors that do not support electronic remittance, Customer shall timely upload checks and corresponding remittance documentation into Prompt’s designated system.

  22. Tracking overpayments and managing refunds due to Payors.

  23. Complying with all Payor policies and requirements, including but not limited to obtaining authorization in advance of providing care, ensuring compliance with visit and dollar amount limitations, obtaining authorization for treatment time exceeding a standard sixty- (60-) minute session or treatment on multiple body parts for the same date of injury.

  24. Identifying liens, collecting attorney information, and obtaining an executed lien form upon intake in advance of providing care. Customer agrees not to accept liens for patient deductibles, co-payments, or co-insurance amounts.

  25. Notifying Prompt of any special handling requests for specific patient accounts or Payors, which Prompt will review to determine whether Prompt can fulfill such request. Prompt shall not be obligated to implement special handling requests unless agreed to in writing.

  26. Billing and collecting Accounts Receivable generated greater than thirty (30) days prior to the Go-Live Date (“Prior AR”), except to the extent the parties have entered into an Order Form, or another written agreement, pursuant to which Prompt has agreed to provide Back Claims Services to Customer. 

  27. Collecting any payments patients receive from a Payor for benefits assigned to Customer.

  28. Responding to any government or Payor audit, inquiry, inspection or investigation.

  29. Notifying Prompt timely of any suspected or known uncollectible Accounts Receivable.

  30. Customer has decision rights for any billing settings and Payor rules. Prompt may (at its discretion) suggest practices for optimal billing workflows.