Billing and Collection. On behalf of and for the account of Medical Practice, Practice Manager shall establish and maintain credit and billing and collection policies and procedures, and shall use Practice Manager’s best efforts to ▇▇▇▇ and collect timely all professional and other fees for all billable Medical Services provided by Medical Practice or the Physicians. Provided, however, that nothing in this Agreement shall be construed as a guarantee by Practice Manager that amounts billed will be collected. Practice Manager shall advise and consult with Medical Practice regarding the fees for Medical Services provided by Medical Practice; it being understood, however, that Medical Practice shall establish the reasonable and customary fees to be charged for Medical Services and that Practice Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services to be provided hereunder and throughout the Term (and thereafter as provided in Section 8.3), Medical Practice grants Practice Manager a special power of attorney and appoints Practice Manager as Medical Practice’s true and lawful agent and attorney-in-fact, and Practice Manager accepts such special power of attorney and appointment, for the following purposes: A. To ▇▇▇▇ Medical Practice’s patients on behalf of and in the name of Medical Practice, for all billable Medical Services provided-by Medical Practice to such patients; B. To ▇▇▇▇ on behalf of and in the name of Medical Practice all claims for reimbursement or indemnification from Blue Cross/Blue Shield, insurance companies, Medicare, Medicaid, and all other third-party payors or fiscal intermediaries for all covered billable Medical Services provide by Medical Practice to patients; provided, however, that Physician shall comply with all third party payor requirements applicable to true and accurate coding and submission of claims for reimbursement or indemnification and patient care management in accordance with all applicable laws, rules, regulations and third parry payor requirements; C. To collect and receive on behalf of and in the name of Medical Practice, all accounts receivable generated by such ▇▇▇▇▇▇▇▇ and claims for reimbursement; to administer such accounts including, but not limited to: extending the time of payment of any such accounts; assigning or selling at a discount such accounts to collection agencies; or taking other measures to require the payment of any such accounts; provided, however, that extraordinary collection measures, such as discharging or releasing obligers or assigning or selling accounts at a discount to collection agencies, shall not be undertaken except in emergency cases without the approval of Managing Physician, which approval shall not be unreasonably withheld. Lack of a written objection from Managing Physician after 5 working days shall be an automatic approval by the Managing Physician. D. To deposit all amounts collected into the Medical Practice Account, which shall be and at all times remain in Medical Practice’s name. Medical Practice covenants to transfer and deliver to Practice Manager all funds received by Medical Practice from any and all services including patients or third-parry payors for Medical Services. Upon receipt by Practice Manager of any funds from patients or third-party payors or from Medical Practice for Medical Services of Medical Practice or from other sources including grants, leases, donations, and interests received by Medical Practice, Practice Manager shall immediately deposit the funds into the Medical Practice Account. Practice Manager shall disburse the deposited funds to creditors and other persons on behalf of Medical Practice, maintaining records of the receipt and disbursement of funds according to generally accepted accounting principles; and E. To take possession of, endorse in the name of Medical Practice, subject to required reassignment by Physicians, and deposit into the Medical Practice Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable for Medical Services. Medical Practice shall require all physician employees and consultants to assign to Medical Practice in writing any and all fees received by them for services rendered on behalf of Practice Manager or Medical Practice. Upon the request of Practice Manager, Medical Practice shall execute and deliver to the financial institution wherein the Medical Practice Account is maintained, any additional documents or instruments that may be necessary to evidence or effect the special power of attorney granted to Practice Manager by Medical Practice pursuant to this Section or pursuant to Section 5.10 of this Agreement. The special power of attorney granted in this Agreement shall be coupled with an interest and shall be irrevocable except with Practice Manager’s written consent.
Appears in 3 contracts
Sources: Business Operations and Support Services Agreement, Business Operations and Support Services Agreement (Radiation Therapy Services Inc), Business Operations and Support Services Agreement (Radiation Therapy Services Inc)
Billing and Collection. On behalf of and for the account of Medical Practice, Practice Manager shall establish and maintain credit and billing and collection policies and procedures, and shall use Practice Manager’s best efforts to ▇▇▇▇ and collect timely all professional and other fees for all billable Medical Services provided by Medical Practice or the Physicians. Provided, however, that nothing in this Agreement shall be construed as a guarantee by Practice Manager that amounts billed will be collected. Practice Manager shall advise and consult with Medical Practice regarding the fees for Medical Services provided by Medical Practice; it being understood, however, that Medical Practice shall establish the reasonable and customary fees to be charged for Medical Services and that Practice Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services to be provided hereunder and throughout the Term (and thereafter as provided in Section 8.3), Medical Practice grants Practice Manager a special power of attorney and appoints Practice Manager as Medical Practice’s true and lawful agent and attorney-in-fact, and Practice Manager accepts such special power of attorney and appointment, for the following purposes:
A. To ▇▇▇▇ Medical Practice’s patients on behalf of and in the name of Medical Practice, for all billable Medical Services provided-by Medical Practice to such patients;
B. To ▇▇▇▇ on behalf of and in the name of Medical Practice all claims for reimbursement or indemnification from Blue Cross/Blue Shield, insurance companies, Medicare, Medicaid, and all other third-party payors or fiscal intermediaries for all covered billable Medical Services provide by Medical Practice to patients; provided, however, that Physician shall comply with all third party payor requirements applicable to true and accurate coding and submission of claims for reimbursement or indemnification and patient care management in accordance with all applicable laws, rules, regulations and third parry payor requirements;
C. To collect and receive on behalf of and in the name of Medical Practice, all accounts receivable generated by such ▇▇▇▇▇▇▇▇ and claims for reimbursement; to administer such accounts including, but not limited to: extending the time of payment of any such accounts; assigning or selling at a discount such accounts to collection agencies; or taking other measures to require the payment of any such accounts; provided, however, that extraordinary collection measures, such as discharging or releasing obligers or assigning or selling accounts at a discount to collection agencies, shall not be undertaken except in emergency cases without the approval of Managing Physician, which approval shall not be unreasonably withheld. Lack of a written objection from Managing Physician after 5 working days shall be an automatic approval by the Managing Physician.
D. To deposit all amounts collected into the Medical Practice Account, which shall be and at all times remain in Medical Practice’s name. Medical Practice covenants to transfer and deliver to Practice Manager all funds received by Medical Practice from any and all services including patients or third-parry payors for Medical Services. Upon receipt by Practice Manager of any funds from patients or third-party payors or from Medical Practice for Medical Services of Medical Practice or from other sources including grants, leases, donations, and interests received by Medical Practice, Practice Manager shall immediately deposit the funds into the Medical Practice Account. Practice Manager shall disburse the deposited funds to creditors and other persons on behalf of Medical Practice, maintaining records of the receipt and disbursement of funds according to generally accepted accounting principles; and
E. To take possession of, endorse in the name of Medical Practice, subject to required reassignment by Physicians, and deposit into the Medical Practice Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable for Medical Services. Medical Practice shall require all physician employees and consultants to assign to Medical Practice in writing any and all fees received by them for services rendered on behalf of Practice Manager or Medical Practice. Upon the request of Practice Manager, Medical Practice shall execute and deliver to the financial institution wherein the Medical Practice Account is maintained, any additional documents or instruments that may be necessary to evidence or effect the special power of attorney granted to Practice Manager by Medical Practice pursuant to this Section or pursuant to Section 5.10 of this Agreement. The special power of attorney granted in this Agreement shall be coupled with an interest and shall be irrevocable except with Practice Manager’s written consent.
Appears in 1 contract
Sources: Business Operations and Support Services Agreement (Radiation Therapy Services Inc)
Billing and Collection. On behalf (a) Except with respect to fees, etc. payable for Related Activities permitted under Section 4 above, Physician hereby assigns to Employer all rights or claims to any and all fees, compensation and other income attributable to the provision of medical and for professional services by Physician during the account term of Medical Practicethis Agreement, Practice Manager all of which shall establish and maintain credit and billing and collection policies and proceduresbe the property of, and if received by Physician, shall use Practice Manager’s best efforts be promptly remitted to Employer. Except with the prior written consent of Employer, Physician shall not ▇▇▇▇ and collect timely all professional and other fees any patient, insurer, federal or state healthcare program, provider or carrier for all billable Medical Services provided by Medical Practice or any services during the Physicians. Providedterm of this Agreement, however, that nothing in this Agreement shall be construed as a guarantee by Practice Manager that amounts billed will be collected. Practice Manager shall advise and consult with Medical Practice regarding the fees for Medical Services provided by Medical Practice; it being understood, however, that Medical Practice shall establish the reasonable and customary fees to be charged for Medical Services and that Practice Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services to be provided hereunder and throughout the Term (and thereafter as provided in Section 8.3), Medical Practice grants Practice Manager a special power of attorney and appoints Practice Manager as Medical Practice’s true and lawful agent and attorney-in-fact, and Practice Manager accepts such special power of attorney and appointment, for the following purposes:
A. To ▇▇▇▇ Medical Practice’s patients on behalf of and in the name of Medical Practice, for all billable Medical Services provided-by Medical Practice to such patients;
B. To ▇▇▇▇ on behalf of and in the name of Medical Practice all claims for reimbursement or indemnification from Blue Cross/Blue Shield, insurance companies, Medicare, Medicaid, and all other third-party payors or fiscal intermediaries for all covered billable Medical Services provide by Medical Practice to patients; provided, however, that Physician shall comply with all third party payor requirements applicable to true and accurate coding and submission of claims for reimbursement or indemnification and patient care management in accordance with all applicable laws, rules, regulations and third parry payor requirements;
C. To collect and receive on behalf of and in the name of Medical Practice, all accounts receivable generated by whether such ▇▇▇▇▇▇▇▇ pertain to patient care services furnished to individual patients or administrative services furnished to Employer.
(b) Physician agrees to take all reasonable actions requested by Employer to assist in the collection of accounts receivable for services provided by Physician, including without limitation, entering into all agreements and claims signing all verifications and certifications necessary to obtain reimbursement for reimbursement; services rendered by Physician pursuant to administer such accounts includingthis Agreement.
(c) During the term of this Agreement, unless Physician is unable to participate for reasons not related to Physician's own conduct or qualifications, Physician shall have and maintain all qualifications and credentialing criteria necessary to keep her status as a participating provider in, and shall accept assignment for payment under, the Medicare and Medicaid programs, and any other third party payor program (including any health maintenance organization and preferred provider organization), in which Employer directs Physician to participate after consultation with Physician.
(d) Physician agrees that she shall at all times comply with applicable state and federal laws, rules and regulations and third party payor guidelines in the performance of, and billing/collection for services hereunder, including but not limited to: extending to those pertaining to the time documentation and coding of payment professional services rendered by Physician. Physician shall use her best efforts to ensure that her notations in the medical records are complete, accurate and legible in all respects. Physician shall be responsible for accurately and timely communicating to Employer’s billing personnel all procedure descriptions, procedure codes and visit levels.
(e) All patients to whom Physician provides professional services hereunder shall be patients of any such accounts; assigning or selling at a discount such accounts to collection agencies; or taking other measures to require the payment Employer, rather than patients of any such accounts; provided, however, that extraordinary collection measures, such as discharging or releasing obligers or assigning or selling accounts at a discount to collection agencies, shall not be undertaken except in emergency cases without the approval of Managing Physician, which approval shall not be unreasonably withheld. Lack regardless of a written objection from Managing Physician after 5 working days shall be an automatic approval by the Managing Physician.
D. To deposit all amounts collected into the Medical Practice Account, which shall be and at all times remain in Medical Practice’s name. Medical Practice covenants whether Employer bills for services to transfer and deliver to Practice Manager all funds received by Medical Practice from any and all services including such patients or third-parry payors for Medical Services. Upon receipt by Practice Manager of any funds from patients or third-party payors or from Medical Practice for Medical Services of Medical Practice or from other sources including grants, leases, donations, and interests received by Medical Practice, Practice Manager shall immediately deposit the funds into the Medical Practice Account. Practice Manager shall disburse the deposited funds to creditors and other persons on behalf of Medical Practice, maintaining records of the receipt and disbursement of funds according to generally accepted accounting principles; and
E. To take possession of, endorse in the name of Medical Practice, subject to required reassignment by Physicians, and deposit into the Medical Practice Account any notes, checks, money orders, insurance payments, and any other instruments received Physician or in payment of accounts receivable for Medical Services. Medical Practice shall require all physician employees and consultants to assign to Medical Practice in writing any and all fees received by them for services rendered on behalf of Practice Manager or Medical Practice. Upon the request of Practice Manager, Medical Practice shall execute and deliver to the financial institution wherein the Medical Practice Account is maintained, any additional documents or instruments that may be necessary to evidence or effect the special power of attorney granted to Practice Manager by Medical Practice pursuant to this Section or pursuant to Section 5.10 of this Agreement. The special power of attorney granted in this Agreement shall be coupled with an interest and shall be irrevocable except with Practice Manager’s written consentits own name.
Appears in 1 contract
Sources: Employment Agreement
Billing and Collection. On behalf of and for the account of Medical Practice, Practice Manager shall establish and maintain credit and billing and collection policies and procedures, and shall use Practice Manager’s best efforts to ▇▇▇▇ and collect timely all professional and other fees for all billable Medical Services provided by Medical Practice or the Physicians. Provided, however, that nothing in this Agreement shall be construed as a guarantee by Practice Manager that amounts billed will be collected. Practice Manager shall advise and consult with Medical Practice regarding the fees for Medical Services provided by Medical Practice; it being understood, however, that Medical Practice shall establish the reasonable and customary fees to be charged for Medical Services and that Practice Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services to be provided hereunder and throughout the Term (and thereafter as provided in Section 8.3), Medical Practice grants Practice Manager a special power of attorney and appoints Practice Manager as Medical Practice’s true and lawful agent and attorney-in-fact, and Practice Manager accepts such special power of attorney and appointment, for the following purposes:
A. To ▇▇▇▇ Medical Practice’s patients on behalf of and in the name of Medical Practice, for all billable Medical Services provided-by Medical Practice to such patients;
B. To ▇▇▇▇ on behalf of and in the name of Medical Practice all claims for reimbursement or indemnification from Blue Cross/Blue Shield, insurance companies, Medicare, Medicaid, and all other third-party payors or fiscal intermediaries for all covered billable Medical Services provide by Medical Practice to patients; provided, however, that Physician shall comply with all third party payor requirements applicable to true and accurate coding and submission of claims for reimbursement or indemnification and patient care management in accordance with all applicable laws, rules, regulations and third parry payor requirements;
C. To collect and receive on behalf of and in the name of Medical Practice, all accounts receivable generated by such ▇▇▇▇▇▇▇▇ and claims for reimbursement; to administer such accounts including, but not limited to: extending the time of payment of any such accounts; assigning or selling at a discount such accounts to collection agencies; or taking other measures to require the payment of any such accounts; provided, however, that extraordinary collection measures, such as discharging or releasing obligers or assigning or selling accounts at a discount to collection agencies, shall not be undertaken except in emergency cases without the approval of Managing Physician, which approval shall not be unreasonably withheld. Lack of a written objection from Managing Physician after 5 working days shall be an automatic approval by the Managing Physician.
D. To deposit all amounts collected into the Medical Practice Account, which shall be and at all times remain in Medical Practice’s name. Medical Practice covenants to transfer and deliver to Practice Manager all funds muds received by Medical Practice from any and all services including patients or third-parry payors for Medical Services. Upon receipt by Practice Manager of any funds fluids from patients or third-party payors or from Medical Practice for Medical Services of Medical Practice or from other sources including grantsgiants, leases, donations, and interests received by Medical Practice, Practice Manager shall immediately deposit the funds into the Medical Practice Account. Practice Manager shall disburse the deposited funds fluids to creditors and other persons on behalf of Medical Practice, maintaining records of the receipt and disbursement of funds according to generally accepted accounting principles; and
E. To take possession of, endorse in the name of Medical Practice, subject to required reassignment by Physicians, and deposit into the Medical Practice Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable for Medical Services. Medical Practice shall require all physician employees and consultants to assign to Medical Practice in writing any and all fees received by them for services rendered on behalf of Practice Manager or Medical Practice. Upon the request of Practice Manager, Medical Practice shall execute and deliver to the financial institution wherein the Medical Practice Account is maintained, any additional documents or instruments that may be necessary to evidence or effect the special power of attorney granted to Practice Manager by Medical Practice pursuant to this Section or pursuant to Section 5.10 of this Agreement. The special power of attorney granted in this Agreement shall be coupled with an interest and shall be irrevocable except with Practice Manager’s written consent.
Appears in 1 contract
Sources: Business Operations and Support Services Agreement (Radiation Therapy Services Holdings, Inc.)
Billing and Collection. On behalf of and for the account of Medical Practice, Practice Manager shall establish and maintain credit and billing and collection policies and procedures, and shall use Practice Manager’s best efforts to ▇▇▇▇ and collect timely all professional and other fees for all billable Medical Services provided by Medical Practice or the Physicians. Provided, however, that nothing in this Agreement shall be construed as a guarantee by Practice Manager that amounts billed will be collected. Practice Manager shall advise and consult with Medical Practice regarding the fees for Medical Services provided by Medical Practice; it being understood, however, that Medical Practice shall establish the reasonable and customary fees to be charged for Medical Services and that Practice Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services to be provided hereunder and throughout the Term (and thereafter as provided in Section 8.3), Medical Practice grants Practice Manager a special power of attorney and appoints Practice Manager as Medical Practice’s true and lawful agent and attorney-in-fact, and Practice Manager accepts such special power of attorney and appointment, for the following purposes:
A. To ▇▇▇▇ Medical Practice’s patients on behalf of and in the name of Medical Practice, for all billable Medical Services provided-by Medical Practice to such patients;
B. To ▇▇▇▇ on behalf of and in the name of Medical Practice all claims for reimbursement or indemnification from Blue Cross/Blue Shield, insurance companies, Medicare, Medicaid, and all other third-party payors or fiscal intermediaries for all covered billable Medical Services provide by Medical Practice to patients; provided, however, that Physician shall comply with all third party payor requirements applicable to true and accurate coding and submission of claims for reimbursement or indemnification and patient care management in accordance with all applicable laws, rules, regulations and third parry payor requirements;
C. To collect and receive on behalf of and in the name of Medical Practice, all accounts receivable generated by such ▇▇▇▇▇▇▇▇ and claims for reimbursement; to administer such accounts including, but not limited to: extending the time of payment of any such accounts; assigning or selling at a discount such accounts to collection agencies; or taking other measures to require the payment of any such accounts; provided, however, that extraordinary collection measures, such as discharging or releasing obligers or assigning or selling accounts at a discount to collection agencies, shall not be undertaken except in emergency cases without the approval of Managing Physician, which approval shall not be unreasonably withheld. Lack of a written objection from Managing Physician after 5 working days shall be an automatic approval by the Managing Physician.
D. To deposit all amounts collected into the Medical Practice Account, which shall be and at all times remain in Medical Practice’s name. Medical Practice covenants to transfer and deliver to Practice Manager all funds received by Medical Practice from any and all services including patients or third-parry payors for Medical Services. Upon receipt by Practice Manager of any funds from patients or third-party payors or from Medical Practice for Medical Services of Medical Practice or from other sources including grants, leases, donations, and interests received by Medical Practice, Practice Manager shall immediately deposit the funds into the Medical Practice Account. Practice Manager shall disburse the deposited funds to creditors and other persons on behalf of Medical Practice, maintaining records of the receipt and disbursement of funds fluids according to generally accepted accounting principles; and
E. To take possession of, endorse in the name of Medical Practice, subject to required reassignment by Physicians, and deposit into the Medical Practice Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable for Medical Services. Medical Practice shall require all physician employees and consultants to assign to Medical Practice in writing any and all alt fees received by them for services rendered on behalf of Practice Manager or Medical Practice. Upon the request of Practice Manager, Medical Practice shall execute and deliver to the financial institution wherein the Medical Practice Account is maintained, any additional documents or instruments that may be necessary to evidence or effect the special power of attorney granted to Practice Manager by Medical Practice pursuant to this Section or pursuant to Section 5.10 of this Agreement. The special power of attorney granted in this Agreement shall be coupled with an interest and shall be irrevocable except with Practice Manager’s written consent.
Appears in 1 contract
Sources: Business Operations and Support Services Agreement (Radiation Therapy Services Holdings, Inc.)
Billing and Collection. On behalf of and for the account of Medical Practice, Practice Manager shall establish and maintain credit and billing and collection policies and procedures, and shall use Practice Manager’s best efforts to ▇▇▇▇ and collect timely all professional and other fees for all billable Medical Services provided by Medical Practice or the Physicians. Provided, however, that nothing in this Agreement shall be construed as a guarantee by Practice Manager that amounts billed will be collected. Practice Manager shall advise and consult with Medical Practice regarding the fees for Medical Services provided by Medical Practice; it being understood, however, that Medical Practice shall establish the reasonable and customary fees to be charged for Medical Services and that Practice Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services to be provided hereunder and throughout the Term (and thereafter as provided in Section 8.3), Medical Practice grants Practice Manager a special power of attorney and appoints Practice Manager as Medical Practice’s true and lawful agent and attorney-in-fact, and Practice Manager accepts such special power of attorney and appointment, for the following purposes:
A. To ▇▇▇▇ Medical Practice’s patients on behalf of and in the name of Medical Practice, for all billable Medical Services provided-provided by Medical Practice to such patients;
B. To ▇▇▇▇ on behalf of and in the name of Medical Practice all claims for reimbursement or indemnification from Blue Cross/Blue Shield, insurance companies, Medicare, Medicaid, and all other third-party payors or fiscal intermediaries for all covered billable Medical Services provide by Medical Practice to patients; provided, however, that Physician shall comply with all third party payor requirements applicable to true and accurate coding and submission of claims for reimbursement or indemnification and patient care management in accordance with all applicable laws, rules, regulations and third parry party payor requirements;
C. To collect and receive on behalf of and in the name of Medical Practice, all accounts receivable generated by such ▇▇▇▇▇▇▇▇ and claims for reimbursement; to administer such accounts including, but not limited to: extending the time of payment of any such accounts; assigning or selling at a discount such accounts to collection agencies; or taking other measures to require the payment of any such accounts; provided, however, that extraordinary collection measures, such as discharging or releasing obligers or assigning or selling accounts at a discount to collection agencies, shall not be undertaken except in emergency cases without the approval of Managing Physician, which approval shall not be unreasonably withheld. Lack of a written objection from Managing Physician after 5 working days shall be an automatic approval by the Managing Physician.
D. To deposit all amounts collected into the Medical Practice Account, which shall be and at all times remain in Medical Practice’s name. Medical Practice covenants to transfer and deliver to Practice Manager all funds received by Medical Practice from any and all services including patients or third-parry party payors for Medical Services. Upon receipt by Practice Manager of any funds from patients or third-party payors or from Medical Practice for Medical Services of Medical Practice or from other sources including grants, leases, donations, and interests received by Medical Practice, Practice Manager shall immediately deposit the funds into the Medical Practice Account. Practice Manager shall disburse the deposited funds to creditors and other persons on behalf of Medical Practice, maintaining records of the receipt and disbursement of funds according to generally accepted accounting principles; and
E. To take possession of, endorse in the name of Medical Practice, subject to required reassignment by Physicians, and deposit into the Medical Practice Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable for Medical Services. Medical Practice shall require all physician employees and consultants to assign to Medical Practice in writing any and all fees received by them for services rendered on behalf of Practice Manager or Medical Practice. Upon the request of Practice Manager, Medical Practice shall execute and deliver to the financial institution wherein the Medical Practice Account is maintained, any additional documents or instruments that may be necessary to evidence or effect the special power of attorney granted to Practice Manager by Medical Practice pursuant to this Section or pursuant to Section 5.10 of this Agreement. The special power of attorney granted in this Agreement shall be coupled with an interest and shall be irrevocable except with Practice Manager’s written consent.
Appears in 1 contract
Sources: Business Operations and Support Services Agreement (Radiation Therapy Services Holdings, Inc.)
Billing and Collection. On behalf The LLC hereby assigns, transfers and conveys to Doctors Health all of its currently existing and for future accounts receivable with respect to all medical services previously provided or in the account future to be provided by the LLC (but not including any Medicare or Medicaid payments currently owing, or which in the future become owing, to the LLC) (collectively, the "Non-Medicare Receivables"). Doctors Health shall be entitled to take any such action with respect to the Non-Medicare Receivables as it deems appropriate in the exercise of Medical Practice, Practice Manager its sole discretion. The LLC shall establish execute such other documents and maintain credit agreements as may be necessary to more fully and effectively transfer the Non-Medicare Receivables to Doctors Health. Doctors Health shall serve as billing and collection policies and proceduresagent for the LLC with respect to any Medicare and/or Medicaid payments currently owing, or which in the future become owing, to the LLC (the "Medicare Receivables") and shall use Practice Manager’s best efforts to ▇▇▇▇ for and endeavor to collect timely all professional and other fees for all billable Medical Services provided by Medical Practice or the Physicians. Provided, however, that nothing in this Agreement shall be construed as a guarantee by Practice Manager that amounts billed will be collected. Practice Manager shall advise and consult with Medical Practice regarding the fees for Medical Services provided by Medical Practice; it being understood, however, that Medical Practice shall establish the reasonable and customary fees to be charged for Medical Services and that Practice Manager shall have no authority whatsoever with respect such Medicare Receivables owed to the establishment of such feesLLC (reserving the right to send, with simultaneous notice to the LLC, selected past-due accounts to a collection agency) and issue receipts therefor, if required. In connection with the billing and collection services to be provided hereunder and throughout the Term (and thereafter The LLC hereby appoints Doctors Health as provided in Section 8.3), Medical Practice grants Practice Manager a special power of attorney and appoints Practice Manager as Medical Practice’s true and lawful its agent and attorney-in-factfact for the collection of the Medicare Receivables. The LLC further appoints Doctors Health as its attorney in fact and agent, to collect such Medicare Receivables that Doctors Health deems uncollectible. Doctors Health shall deposit all the Medicare Receivables in the bank accounts described in SECTION 4.C. hereof. Doctors Health will use its commercially reasonable efforts to:
i. provide to the LLC, upon reasonable prior notice, such reasonably detailed reports with respect to the LLC's accounts receivable, billing and collection status, including charges, receipts, and Practice Manager accepts such special power insurance classifications of attorney and appointment, for patients as the following purposes:
A. To ▇▇▇▇ Medical Practice’s patients on behalf of and in the name of Medical Practice, for all billable Medical Services provided-by Medical Practice LLC may from time to such patientstime reasonably request;
B. To ▇▇▇▇ on behalf ii. should this Agreement be terminated, upon request therefor, provide the LLC with a complete listing and print out of all active patient accounts, all Medicare and in the name of Medical Practice third party insurer active billing records, all claims for reimbursement or indemnification from Blue Cross/Blue Shield, insurance companies, Medicare, Medicaiddemographic and charge data, and a final report detailing all other third-party payors or fiscal intermediaries for all covered billable Medical Services provide by Medical Practice data and information pertinent to patients; providedthe LLC's accounts, however, that Physician shall comply with all third party payor requirements applicable to true and accurate coding and submission of claims for reimbursement or indemnification and patient care management in accordance with all applicable laws, rules, regulations and third parry payor requirements;
C. To collect and receive on behalf of and in the name of Medical Practice, all accounts receivable generated by such ▇▇▇▇▇▇▇▇ and claims for reimbursement; to administer such accounts including, but not limited to: extending the time of payment of any such accounts; assigning or selling at a discount such accounts to collection agencies; or taking other measures to require the payment of any such accounts; provided, however, that extraordinary collection measures, such as discharging or releasing obligers or assigning or selling accounts at a discount to collection agencies, shall not be undertaken except in emergency cases without the approval of Managing Physician, which approval shall not be unreasonably withheld. Lack of a written objection from Managing Physician after 5 working days shall be an automatic approval by the Managing Physician.
D. To deposit all amounts collected into the Medical Practice Account, which shall be and at all times remain in Medical Practice’s name. Medical Practice covenants to transfer and deliver to Practice Manager all funds received by Medical Practice from any and all services including patients or third-parry payors for Medical Services. Upon receipt by Practice Manager of any funds from patients or third-party payors or from Medical Practice for Medical Services of Medical Practice or from other sources including grants, leases, donations, and interests received by Medical Practice, Practice Manager shall immediately deposit the funds into the Medical Practice Account. Practice Manager shall disburse the deposited funds to creditors and other persons on behalf of Medical Practice, maintaining records normal reporting capability of the receipt and disbursement of funds according to generally accepted accounting principlesbilling system or contractor, if any, utilized for the LLC's billing by Doctors Health; and
E. To take possession of, endorse iii. use reasonable care in processing and storing the name of Medical Practice, subject to required reassignment by Physicians, LLC's data and deposit into the Medical Practice Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable for Medical Services. Medical Practice shall require all physician employees and consultants to assign to Medical Practice in writing any and all fees received by them for services rendered on behalf of Practice Manager or Medical Practice. Upon the request of Practice Manager, Medical Practice shall execute and deliver to the financial institution wherein the Medical Practice Account is maintained, any additional documents or instruments that may be necessary to evidence or effect the special power of attorney granted to Practice Manager by Medical Practice pursuant to this Section or pursuant to Section 5.10 of this Agreement. The special power of attorney granted in this Agreement shall be coupled with an interest and shall be irrevocable except with Practice Manager’s written consentrecords.
Appears in 1 contract
Sources: Physician Services Organization Agreement (Doctors Health System Inc)