25-15 Attachment - RevGuard Contract.pdf

3.5.3 Billing: Perform computerized billing and, when available, electronic submission of all Medicare, Medicaid, Blue Cross, commercial, contracted and private pay accounts. 3.5.4 Telephone Follow-Up: Perform telephone follow-up on delinquent accounts to insurance companies and non-resident patients. 3.5.5 Utilization Review: Review and resubmit all rejected third party payer claims, when appropriate. 3.5.6 Appeal: Prepare, submit and pursue, in consultation with Client and unless otherwise directed by Client, any and all appropriate reviews or appeals (not including court Proceedings) with respect to any rejected or denied claim, or any claim to which no response shall have been received in a timely manner. 3.6 Notwithstanding any other term or Provision of this Agreement, all services of RevGuard rendered hereunder or in connection with this Agreement (i) shall be rendered and performed in compliance with all applicable legal and regulatory requirements; and (ii) shall be rendered and performed in accordance with all generally accepted standards, policies and procedures in the field of billing for ambulance services. 3.7 Records Management. All records delivered by Client to RevGuard shall be considered the sole property of the Client RevGuard, however, shall retain the right to maintain such records, i.e. trip reports, invoices, correspondence and payment records. 3.8 Reports. RevGuard will provide Client with reports as set forth below: (i) Detailed Monthly Revenue; (ii) Monthly Credit Report; (iii) Monthly AJR control log; (iv) Monthly Report of all credit adjustments pursuant to Section 3.3; 5