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Medical Billing Agreements Sample

Medical billing agreements are essential for healthcare providers who want to streamline their billing processes. By entering into this agreement, healthcare providers can outsource their billing tasks to a professional billing company. This helps to reduce the administrative burden on healthcare providers, so they can focus on providing quality care to their patients.

If you are a healthcare provider who is looking to outsource your billing tasks, you will need to have a medical billing agreement in place. In this article, we will provide you with a sample medical billing agreement to help you get started.

Sample Medical Billing Agreement

This Medical Billing Agreement (“Agreement”) is made and entered into on __________ by and between __________, (the “Healthcare Provider”) and __________ (the “Billing Company”), collectively referred to as the “Parties”.

1. Services to be Provided

The Billing Company shall provide the following services to the Healthcare Provider:

a. Billing and coding for medical services rendered;

b. Submission of claims to insurance companies and other payers;

c. Follow-up with insurance companies and other payers to ensure timely payment;

d. Posting of payments and adjustments to patient accounts;

e. Monthly financial reporting to the Healthcare Provider.

2. Fees and Payment

The Billing Company shall be compensated for its services as follows:

a. A percentage of the gross collections received by the Healthcare Provider for services rendered;

b. The percentage shall be __________ percent.

3. Term and Termination

This Agreement shall commence on __________ and shall continue until terminated by either party upon __________ days’ written notice to the other party.

4. Confidentiality

The Billing Company shall maintain the confidentiality of all patient information and other confidential information regarding the Healthcare Provider.

5. Indemnification

The Billing Company agrees to indemnify and hold harmless the Healthcare Provider from any claims, damages, or expenses arising out of or in connection with the Billing Company’s services under this Agreement.

6. Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of __________.

7. Entire Agreement

This Agreement constitutes the entire agreement between the Parties and supersedes all prior negotiations, understandings, and agreements between the Parties.

8. Amendment

This Agreement may be amended only in writing by the Parties.

In conclusion, a medical billing agreement is a vital document for healthcare providers who want to outsource their billing tasks to a professional billing company. The sample medical billing agreement provided in this article can be used as a starting point for healthcare providers who are looking to create their own agreements. However, it is important to note that each agreement should be tailored to the specific needs of the healthcare provider and the billing company.