Orange County NC Website
:iUNC <br /> HEALTH CARE <br /> Exhibit A <br /> This Letter of Agreement between our respective organizations outlines the reimbursement terms <br /> and conditions whereby UNC Faculty Physicians (UNC FP ) will provide services related to <br /> breast and cervical cancer screening for patients as referred by the Orange County Health <br /> Department ( OCHD ) . This letter will cover services provided on dates of service between July <br /> 1 , 2019 and June 30 , 2020 . UNC FP shall comply with State regulations and local medical <br /> standards . For these services , UNC FP agrees to accept as payment in full reimbursement rates <br /> as outlined on the "North Carolina Breast and Cervical Cancer Control Program 2019 Services <br /> Fee Schedule" (Fee Schedule) attached hereto as Exhibit B , and subsequent fee schedules that <br /> apply to this time period , as provided by the State . Hospital services , if any, are excluded from <br /> this agreement , as are any services provided by UNC FP that are not listed on the Fee Schedule . <br /> UNC FP further agrees to seek payment only from the OCHD and will not seek payment from <br /> individual patients for services covered under this agreement . <br /> OCHD and UNC FP agree that UNC FP is an independent contractor and shall not represent <br /> itself as an agent or employee of OCHD for any purpose in the performance of UNC FP ' s duties <br /> under this contract . <br /> To the extent permitted by the NC Tort Claims Act , the UNC FP shall indemnify and hold <br /> harmless the OCHD , its officials , agents , and employees from and against all claims , damages , <br /> losses , and expenses , (including but not limited to fees and charges of attorneys and other <br /> professionals and costs related to court action or arbitration) arising out of or resulting from the <br /> performance of this agreement or the actions of the UNC FP or its officials , employees , or <br /> contractors under this agreement . This indemnification shall survive the termination of this <br /> agreement . <br /> UNC FP represents that it is in compliance with all applicable Federal , State, and local laws , <br /> regulations or orders , as amended or supplemented . The implementation of this contract will be <br /> carried out in strict compliance with all Federal , State , or local laws . If applicable, UNC FP shall <br /> rivacy rules effective Apri12003 and HIPAA Security regulations and comply with HIPAA P <br /> guidelines effective February 2005 . <br /> Either party may terminate this agreement by giving thirty ( 30) days written notice to the other <br /> party . <br /> OCHD will notify Ann Homback of patients being referred to UNC as part of this program . <br /> Identification will occur preferably by email , or otherwise phone, to : <br /> UNC Hospitals — Gynecology Oncology Clinic <br /> Jamila Ezell <br /> P (984) 9744032 <br /> F (984) 9744673 <br /> Jamila . Ezell@unchealth . unc. edu <br /> UNC Health Care System I A/lanaged Care Office Hedrick Bldg 211 Friday Center Drive, Chapel Hill, NC 27517 <br />