Terms & Conditions

Service Offerings

MediSync RCM provides comprehensive healthcare revenue cycle management services, including but not limited to:

• Medical billing and claims processing
• Insurance verification and prior authorization
• Denial management and appeals
• Payment posting and reconciliation
• Patient billing and collections
• Credentialing and provider enrollment
• Medical coding and documentation
• Practice management support
• Compliance and audit assistance
• Reporting and analytics

Service Standards

We commit to providing our services with professional competence and in accordance with industry standards. However, we cannot guarantee specific financial outcomes, as results depend on various factors including payer policies, claim accuracy, and market conditions.

Information Provision

You agree to:

• Provide accurate, complete, and timely information necessary for service delivery
• Maintain current insurance and patient demographic information
• Ensure proper documentation of all medical services provided
• Notify us promptly of any changes affecting billing or collections
• Cooperate with our requests for additional information or clarification

Compliance Obligations

You are responsible for:

• Maintaining all required licenses and certifications
• Ensuring compliance with HIPAA and other applicable regulations
• Providing services within your scope of practice
• Maintaining appropriate malpractice insurance
• Following all federal and state healthcare laws

System Access and Security

You agree to:

• Maintain secure access credentials and not share login information
• Notify us immediately of any suspected security breaches
• Use our systems only for authorized purposes
• Comply with all system usage policies and procedures

Service Fees

Our fees are based on the specific services provided and are detailed in your service agreement. Fee structures may include:

• Percentage of collections
• Per-claim fees
• Monthly flat fees
• Hourly rates for specific services
• Setup and implementation fees

Payment Schedule

Fees are typically deducted from collections before remittance to you, or invoiced monthly as specified in your service agreement. All fees are due within 30 days of invoice date unless otherwise agreed in writing.

Late Payments

Late payments may be subject to interest charges of 1.5% per month or the maximum rate permitted by law, whichever is less. We reserve the right to suspend services for accounts more than 60 days past due.

Business Associate Relationship

We serve as your Business Associate under HIPAA and are committed to protecting the privacy and security of Protected Health Information (PHI). We will execute a separate Business Associate Agreement that details our specific obligations regarding PHI handling.

Confidentiality Obligations

We agree to:

• Use PHI only for the purposes specified in our agreement
• Implement appropriate safeguards to protect PHI
• Not disclose PHI except as permitted or required by law
• Report any breaches or security incidents promptly
• Return or destroy PHI upon termination of services

Service Limitations

While we strive to provide excellent service, we cannot guarantee specific collection rates, approval rates, or financial outcomes. Our liability is limited to the fees paid for our services in the 12 months preceding any claim.

Excluded Damages

We shall not be liable for any indirect, incidental, special, consequential, or punitive damages, including but not limited to:

• Lost profits or revenue
• Business interruption
• Loss of data or information
• Cost of substitute services
• Regulatory fines or penalties

Force Majeure

We shall not be liable for any failure or delay in performance due to circumstances beyond our reasonable control, including natural disasters, government actions, labor disputes, or technology failures.

Termination by Either Party

Either party may terminate this agreement with 30 days written notice. Termination does not relieve either party of obligations incurred prior to termination.

Immediate Termination

We may terminate services immediately upon:

• Material breach of these terms
• Non-payment of fees
• Loss of professional license or credentials
• Illegal or unethical conduct
• Failure to maintain required insurance

Post-Termination Obligations

Upon termination, we will complete work in progress, provide final reporting, and return or destroy confidential information as required. Outstanding fees remain due and payable.

Applicable Law

These Terms are governed by the laws of the State of Florida, without regard to conflict of law principles. Any disputes shall be resolved in the courts of Broward County, Florida.

Dispute Resolution

We encourage resolution of disputes through direct communication. If formal resolution is necessary, disputes may be subject to binding arbitration under the rules of the American Arbitration Association.