Billing Information and Supporting Documentation Clause Samples
Billing Information and Supporting Documentation. When requested by MMBS, Medical Practice shall submit to MMBS in a prompt and timely manner (but no longer than three (3) business days following such request) all Billing Information and other documentation necessary to support Medical Practice’s claims for medical and other items and services including, to support the use of any ICD-9 Code, ICD-10 Code, CPT Code or other code used to ▇▇▇▇ for such items or services provided by Medical Practice and identify any patient, government program, health insurer or other entity or individual responsible for payment for such items or services (each, a “Payer”). Such documentation shall include, at a minimum, the following: (a) dated and authenticated medical records, including, without limitation, Providers’ progress notes, documentation of all services rendered and/or products supplied, appropriate patient histories and evaluations, treatment plans and the documentation of the medical necessity and reasons for the patient encounter, services and/or products; (b) patient consents, releases, assignments of benefits and other patient approvals; (c) physician orders and prescriptions; (d) patient insurance information necessary for MMBS to submit accurate and complete billing claims to the appropriate Payer; and (e) any other documentation that is necessary to obtain payment. Medical Practice shall also submit any further documentation as requested from time to time by MMBS; including, without limitation, documentation that is necessary, in MMBS’s sole discretion, to: (x) clarify or correct any documentation that MMBS (or any Payer to whom a claim is submitted) deems confusing, unclear, or ambiguous; or (y) resubmit a claim that a Payer has disputed or denied. Without limiting the foregoing, Medical Practice hereby authorizes MMBS to obtain any information from the Software, Modernizing Medicine’s EMA products or services or from MMBS’ Representatives that MMBS deems appropriate to provide the RCM Services. Medical Practice shall comply with all MMBS practices and procedures with respect to the submission of Billing Information and other information and documentation to MMBS as MMBS may inform Medical Practice of from time to time.
Billing Information and Supporting Documentation. When requested by MMBS, Medical Practice shall submit to MMBS in a prompt and timely manner (but no longer than three (3) business days following such request) all Billing Information and other documentation necessary to support Medical Practice’s claims for medical and other items and services including, to support the use of any ICD-9 Code, ICD-10 Code, CPT Code or other code used to ▇▇▇▇ for such items or services provided by Medical Practice and identify any patient, government program, health insurer or other entity or individual responsible for payment for such items or services (each, a “Payer”). Such documentation shall include, at a minimum, the following: (a) dated and authenticated medical records, including, without limitation, Providers’ progress notes, documentation of all services rendered and/or products supplied, appropriate patient histories and evaluations, treatment plans and the documentation of the medical necessity and reasons for the patient encounter, services and/or products; (b) patient consents, releases, assignments of benefits and other patient approvals; (c) physician orders and prescriptions; (d) patient insurance information necessary for MMBS to submit accurate and complete billing claims to the appropriate Payer; and (e) any other documentation that is necessary to obtain payment. Medical Practice shall also submit any further documentation as requested from time to time by MMBS; including, without limitation, documentation that is necessary, in MMBS’s sole discretion, to: