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C. Provide Emergicon with a copy of all required Licenses, permits, <br />certificates and enrollments as referenced in Paragraph 4(b), and forward updates of these <br />documents to Emergicon as they are renewed. <br />d. Provide Emergicon with odometer readings or other documentation of <br />mileage accepted by the payer on all calls reflecting loaded mileage (from the point of patient <br />pickup to the destination) recorded in tenths of a mile as required by Medicare guidelines. <br />e. In accordance with appropriate payer guidelines, obtain the signature of the <br />patient or other authorized representative of the patient or otherwise meet the ambulance signature <br />requirements set forth at 42 C.F.R. § 424.36 on each call and forward to Emergicon as part of the <br />Required Documentation. <br />f. In the event that Client operates a subscription, membership, or resident <br />write-off program, client represents and warrants that its program is actuarially sound in <br />accordance with the guidance of the Office of Inspector General (OIG) and operated in accordance <br />with any applicable state laws, regulations or guidelines. Emergicon will bill in accordance with <br />the terms of such program, provided that Client furnishes those terms to Emergicon in writing. <br />Client is responsible to inform Emergicon of its patients who are members or subscribers of <br />Client's membership or subscription program. Notwithstanding any other provision of this <br />Agreement, Client agrees to reimburse Emergicon, to the extent allowed by law, for any losses <br />arising from Client's membership or subscription program in the event that Client's subscription <br />or membership program is not actuarially sound as set forth in applicable OIG guidance or is not <br />permissible under State law, regulation or policy. <br />g. If Client is a party to any ALS -BLS "joint billing" or "bundle billing" <br />agreement, Client shall be responsible to provide Emergicon with a copy of such agreement. Client <br />also agrees to submit a PCR from the other parry to the joint billing agreement along with the <br />Required Documentation. <br />h. Obtain a completed and valid PCS or CMN form on all trips where required <br />by law and provide copies of all PCS or CMN forms to Emergicon as part of the Required <br />Documentation. <br />i. Provide Emergicon with a copy of all Client rate schedules, contracts or <br />agreements which pertain to Client's billing or charges for services. <br />j. Notify Emergicon of any or all changes in billing charges for service or <br />changes in any of Client's billing policies or contracts not later than ten (10) days after the Client <br />approval date of said changes. <br />k. Report all payments made directly to Client within twenty-four (24) hours <br />of Client's receipt of same, excluding Saturday, Sunday, and official government holidays. <br />1. Cooperate reasonably with Emergicon so as to enable Emergicon to meet <br />its obligations under this Agreement. In the event that Client's approval is required in order for <br />Emergicon to fulfill any obligations it may have under this Agreement, Client shall not <br />5 <br />