Orange County NC Website
Browse       Search
Section 1(b) of this Agreement. The Compensation amount reflected on the <br />invoice shall be paid in full within 45 days from the date the invoice is first <br />presented to Client and subject to approval by Client. All approved invoices are to <br />be paid directly from the Client's banking institution to EMS~MC via paper check or <br />direct deposit to EMS~MC's bank account. <br />c. NONAPPROPRIATION - EMS~MC acknowledges that a "non- <br />appropriation" may occur when Client is unable to secure or allocate sufficient <br />funds in its operating budget to fulfill its financial obligations under the Agreement. <br />If anon-appropriation occurs during the term of the Contract, Client may terminate <br />the Agreement at the end of the then-current fiscal period ("Termination Date") <br />without incurring any termination liability. <br />3. RESPONSIBILITIES OF CLIENT. <br />a. PATIENT & BILLING INFORMATION - To the extent permitted by the <br />federal and state law, Client will provide EMS~MC with complete demographic and <br />charge information the minimum necessary for the processing of professional <br />and/or technical component billing to third parties and/or patients, including the <br />following: patient identification (name, address, phone number, birth date, <br />gender); guarantor identification and address; insurance information; report of <br />services; special claim forms; pre-authorization numbers; and such additional <br />information as is requested by EMS~MC. <br />b. PATIENT MEDICAL RECORDS -Client shall provide complete medical <br />record documentation necessary to insure proper billing and secure claim <br />payment; secure authorizations and signatures, including consent to treat, <br />assignment of benefits and release of information, and physician certification <br />statements (PCS) forms for all non-emergency transports. The client will report to <br />EMS~MC within ten (10) business days, payments received directly by client; and <br />promptly notify EMS~MC of any cases requiring special handling or billing. Client <br />must provide Patient Care Reports (PCR) in a timely manner in order to achieve <br />higher performance. Client wilt implement any reasonable changes that EMS~MC <br />determines necessary for the accurate completion of billing forms and related <br />documentation; execute all forms required by Medicare, Medicaid, GRAMPUS, <br />5 <br />