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22-24 - EMS Third Party Billing
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November 8
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22-24 - EMS Third Party Billing
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AGENDA
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C. Client is solely responsible for repaying any overpayments or recoupments <br />sought or imposed by any insurer, carrier, payer or governmental agency or contractor, including <br />interest, civil monetary penalties, fines or other such assessments. <br />d. Client understands and acknowledges that Emergicon, as part of its <br />compliance program, may on occasion, and at its sole discretion, perform or contract for the <br />performance of periodic, random, internal audits of its coding, billing and other business practices. <br />These voluntary, internal compliance audits may reveal the existence of Client overpayments, and <br />Client agrees that any such overpayments identified by Emergicon in its internal auditing process <br />will be refunded by Client as described in more detail in Paragraph 2(h) of this Agreement. <br />9. Disposition of Funds. <br />a. All funds Emergicon receives from third party payers, patients or other <br />sources for ambulance services provided by Client shall be made in the name Client. Client <br />authorizes Emergicon to endorse, deposit, and otherwise negotiate items as the client's <br />representative and forward monthly to Client or deposit into a Client account as directed by Client. <br />b. If Client desires that its patients be able to pay their accounts utilizing credit <br />cards, then Emergicon shall accept credit card payments on behalf of Client's patients in a manner <br />that is secure and agreed upon by the parties, and only to the extent possible and feasible, without <br />making Emergicon a collection agency and responsible for compliance with the federal Fair Debt <br />Collection Practices Act and other state or federal debt collection laws. <br />by law. <br />C. Emergicon shall not accept a reassignment of any benefits where prohibited <br />10. Compensation. <br />a. In exchange for the Specialized Professional Services described in this <br />Agreement, Client shall pay Emergicon a fee equivalent to seven percent (7.00%) of all revenues <br />collected by Emergicon on behalf of Client. Credit card payments accepted by Emergicon will <br />be charged an additional two percent (2.0%) unless it has been offset by a payer convenience fee. <br />b. For all payers that prohibit percentage -based billing arrangements, such as <br />Department of State Health Services' (DSHS') Children with Special Health Care Needs <br />(CSHCN) Services Program, Client shall pay Emergicon a flat fee of $38 per trip, to be invoiced <br />at the time of billing. <br />C. If Client instructs Emergicon to collect on an account(s) initially billed <br />by another Contractor, Emergicon shall be compensated and paid for the collection efforts on said <br />account in accordance with the following schedule: Twenty-two Percent (22%) of the total amount <br />collected on the account. <br />d. If Client allows Emergicon or places accounts with a 3`d party <br />collection agency to continue to pursue accounts with balances beyond 120 days from the date <br />of transport, Emergicon shall be compensated and paid for the collection efforts on said account <br />10 <br />
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