1.0Medical Office Forcehttps://www.medicalofficeforce.com/esJudah Coodyhttps://www.medicalofficeforce.com/es/author/judahchws/rich600338<blockquote class="wp-embedded-content" data-secret="qH2p0JNysu"><a href="https://www.medicalofficeforce.com/es/service-agreement/">Service Agreement</a></blockquote><iframe sandbox="allow-scripts" security="restricted" src="https://www.medicalofficeforce.com/es/service-agreement/embed/#?secret=qH2p0JNysu" width="600" height="338" title="“Service Agreement” — Medical Office Force" data-secret="qH2p0JNysu" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" class="wp-embedded-content"></iframe><script type="text/javascript"> /* <![CDATA[ */ /*! This file is auto-generated */ !function(d,l){"use strict";l.querySelector&&d.addEventListener&&"undefined"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!/[^a-zA-Z0-9]/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret="'+t.secret+'"]'),o=l.querySelectorAll('blockquote[data-secret="'+t.secret+'"]'),c=new RegExp("^https?:$","i"),i=0;i<o.length;i++)o[i].style.display="none";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute("style"),"height"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):"link"===t.message&&(r=new URL(s.getAttribute("src")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener("message",d.wp.receiveEmbedMessage,!1),l.addEventListener("DOMContentLoaded",function(){for(var e,t,s=l.querySelectorAll("iframe.wp-embedded-content"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute("data-secret"))||(t=Math.random().toString(36).substring(2,12),e.src+="#?secret="+t,e.setAttribute("data-secret",t)),e.contentWindow.postMessage({message:"ready",secret:t},"*")},!1)))}(window,document); //# sourceURL=https://www.medicalofficeforce.com/wp-includes/js/wp-embed.min.js /* ]]> */ </script>General terms This Agreement (“Agreement”) dated (“Effective Date”) between Medical Office Force LLC, with its primary business address at 2005 Prince Ave, Athens, GA 30606, hereinafter referred to as the “Contractor Company” and (“Company name listed in signature document”) having its primary business address at (Address listed in Signature document) hereinafter referred to as the “Client”. The Contractor Company and Client each can be referred to as a “Party” and collectively as the “Parties”. TERMS & RENEWAL This Agreement is in effect for Two (2) years from the Effective Date Notwithstanding the foregoing, either Party may terminate immediately upon written notice in the event of a material breach of this Agreement by the other Party. The termination notice MUST be served upon the receiving party via certified mail or fax. If termination is for other reasons without any material breach, then Sixty days (60) days prior written notice is mandatory. This Agreement immediately renews on a month-to-month basis upon the Two (2) years initial period being completed (“Renewed Period”). During the Renewed Period, Sixty (60) days’ written notice is required for termination. All the applicable terms and conditions of this Agreement will apply until the parties either terminate the Agreement or execute a new agreement. CONFIDENTIALITY The Contractor Company understands that the Client’s information concerning the CLIENT and its customers, including personal and financial information, is sensitive and confidential. The Contractor Company will abide by all confidentiality guidelines as per HIPAA regulations and will sign the Business Associate Agreement in the form attached hereto. The Contractor Company agrees not to disclose any confidential information without expressed written permission from the CLIENT’S office. The Contractor Company is not responsible for incorrect information provided by the CLIENT and/or its staff. USE OF INFORMATION When submitting claims and/or statements, The Contractor Company is acting in good faith and represents the CLIENT’S office in all forms of communication. CLIENT hereby appoints and designates the Contractor Company as its agent for the limited purpose of providing the Services to the CLIENT. The Contractor Company has the CLIENT’s express permission to settle claims, and disputes, answer phone calls from carriers and patients/guardians using the name of the CLIENT’s office within the telephone conversation, place the CLIENT’s name on bills and letters pertaining to the unpaid debt of the patients. The CLIENT also gives The Contractor Company express permission to sign as a representative of the CLIENT’s office. The Contractor Company will not make any changes to medical records that are insufficient for medical coding or billing, copies of explanation of benefits (EOB’s) or any other documents received from carriers, patients or other sources. The Contractor Company will not become involved in carrier contract violations or disputes. The CLIENT takes complete responsibility of this and will indemnify the Contractor Company from disputes arising from such situations. The Contractor Company will retain all medical billing software licenses and may give access to the CLIENT for a reasonable user access fee as may be applicable at the time. The Contractor Company and its employees shall at all times be independent Contractor Company and not employees of the CLIENT. The CLIENT shall have no authority to bind the Contractor Company . DISPUTES & DAMAGES The Contractor Company will make every effort to perform its obligations in accordance with industry standards. However, when disputes arise between the Contractor Company and the CLIENT’S office, Parties will first make reasonable attempts to resolve them in good faith amicably. Unresolved disputes shall be governed by the Rules of the American Arbitration Association specific to the State of Georgia and shall be binding upon both parties. Other than as set forth expressly herein, all other warranties, express or implied, with respect to all hardware, software or services provided to CLIENT under this Agreement, including but not limited to, any warranty as to merchantability or fitness for any particular purpose, noninfringement, utility, functionality or suitability for its intended purpose, are hereby disclaimed. FORCE MAJEURE The Contractor Company shall not be held liable for failure to provide services in the event of force majeure, including not limited to natural disasters, war, major upheavals, fire, and performance failures out of its control (i.e. disruptions in online or telephone services attributable to online or telephone service providers). DISCLAIMER & INDEMNIFICATION The Parties acknowledge and agree that the Contractor Company provides medical billing services only and will not assist the CLIENT with any other medical matters. All documentation (i.e. fee superbills, patient demographics, release forms, etc.) is ultimately and entirely the CLIENT’S responsibility. The Contractor Company warrants that its billing will be based strictly on the information provided by the CLIENT. The Contractor Company shall not be responsible for incorrect information provided by the CLIENT’s office and/or staff. CLIENT shall indemnify, defend and hold harmless the Contractor Company against (i) all liability cost, loss, or expense arising out of or resulting from (i) violations of state or federal regulations by the CLIENT, or (ii) CLIENT’s provision of inaccurate, incomplete or incorrect data to the Contractor Company. CLIENT further agrees to furnish all legal defenses reasonably necessary for the Contractor Company in any state or federal legal proceeding. MISCELLANEOUS Assignment. The Agreement may not be assigned by CLIENT, except with prior written consent by the Contractor Company. Changes in Laws and Regulations. Notwithstanding any other provision of this Agreement, if federal, state or local governmental agencies (or their representatives), issue or promulgate any law, rule, regulation, standard or interpretation at any time, while this Agreement is in effect, which prohibits, restricts, limits, or in any way materially changes the method or the method or amounts of reimbursement or payment for services rendered under this Agreement, or which otherwise materially affects either Party’s rights or obligations hereunder, then either Party may give the other Party notice of intent to amend this Agreement in a fashion that is equitable to each Party considering such prohibition, restriction, limitation or change, and the parties shall negotiate in good faith to accomplish such amendment. If … Continue reading