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Systems Design West LLC 6/22/2022
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Systems Design West LLC 6/22/2022
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Last modified
6/25/2024 2:13:35 PM
Creation date
7/8/2022 11:43:16 AM
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Contracts
Contractor's Name
Systems Design West LLC
Approval Date
6/22/2022
Council Approval Date
6/15/2022
Department
Fire
Department Project Manager
Rich Llewellyn
Subject / Project Title
Emergency medical transport billing services
Tracking Number
0003405
Total Compensation
$22.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
Document Relationships
Systems Design West, LLC 6/24/2024 Amendment 1
(Contract)
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\Documents\City Clerk\Contracts\Agreement\Professional Services (PSA)
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statements to all private patient accounts on behalf of the Provider; file any applicable appeals <br /> to insurance payers and/or Medicare and Medicaid on behalf of the patient if necessary to pursue <br /> the claim. Provider shall maintain a system to reconcile the number of EHRs sent to Consultant <br /> monthly. <br /> 1.3 The Consultant shall: receive at its facilities all payments (except those directly <br /> deposited into the Provider's account by insurances and Medicare/Medicaid via EFT), <br /> Explanations of Benefits, and Electronic Remittance Advices; account for all payments; deposit <br /> all funds directly into the Provider's "deposit only" account; forward deposit information to the <br /> Provider within 24 hours of such deposit; initiate and forward refund information and <br /> adjustments made on behalf of the patient's account to the Provider. The Consultant shall <br /> provide to the Provider a minimum of four (4) standard reports each month including: (a) Aged <br /> Accounts Receivable, (b) Month End Summary, (c) Annual Collection Statistics, and (d) <br /> Transaction Journal. These reports will include information related to amounts billed, amounts <br /> collected and uncollected, insurance and Medicare/Medicaid allowable and disallowable. For <br /> payments and remittances that are wholly electronic portal-based, Provider shall grant access to <br /> Consultant's representatives as needed for various payer portals. <br /> 1.4 The Consultant shall provide live customer service to Provider's patients via <br /> toll free phone numbers to answer patient billing questions Monday through Friday from 8:00am <br /> through 6:00 pm, Pacific Time (except Federal holidays). <br /> 1.5 The Consultant shall provide all labor, materials and equipment necessary to <br /> perform the work specified in the above Scope of Services. The Consultant is responsible for <br /> ensuring any subcontractor or vendor agencies are fully licensed and qualified to perform such <br /> work. For subcontracted payment processing and merchant services, Consultant is responsible <br /> for ensuring subcontractor or vendor maintains PCI compliance, and that the vendor or <br /> Consultant must be able to provide a PCI compliance certificate to Provider annually, at most. <br /> 1.6 Additional services: Additional services not specified in this Scope of Services <br /> (e.g. transferred accounts, non-routine auditing, targeted trainings, paper PCRs) may be added <br /> for an additional fee agreed upon in writing. <br /> 2. FEES, EXPENSES, & PAYMENT. Providers will receive a monthly invoice. For and in <br /> consideration of all services provided by the Consultant identified above, the Provider shall pay <br /> to the Consultant $22.00 per transport. <br /> In addition, the Provider will pay actual postage at current USPS postage rates for patient <br /> invoices, statements, and Certified Mail PCS requests that are needed to be mailed in order for <br /> the Consultant to perform the Scope of Services. <br /> Provider shall remit payment for services rendered under this Agreement to the Consultant <br /> within 30 days from receipt of Consultant's monthly invoice to the Provider. Progress invoices <br /> 3 <br />
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