Agreement made this day by and between ACG Billing Services and Greene Chiropractic clinic, hereinafter referred to as “client”. Whereas, ACG Billing Services, is in the business or providing billing and accounts receivable services for Client, and, Whereas, Client desires to contract with ACG Billing Services to perform the service set forth in items 2 and 3 below, Now, therefore, in consideration of the mutual benefits to be derived by each of the respective parties, it is agreed as follows:
1. This agreement has no term and can be cancelled with a two-week notice. The two weeks will allow for proper turnover of passwords, work in progress and assure a smooth transition to a new billing agent/person.
2. AGENCY. The client hereby appoints ACG Billing Services, Inc to be the client’s authorized agent for the purpose of: (1) collecting insurance benefits/payments, (2) corresponding with medical insurance companies, attorneys, and patients regarding client’s bills to patients or their medical insurers;
3. DUTIES – BILLING PACKAGE. ACG Billing Services, Inc will, for the term specified above, perform the services which are agreen upon by each party below.
(a) Collect payments received from insurance companies
(b) Respond the billing inquiries made by insurance companies and attorneys.
(c) Respond to Client’s inquiries about claims/payments
(d) Review outstanding claims weekly and rebill as needed on claims over 30 days
(e) Advise Client of unpaid claims requiring attention from client in order to get them paid.
(f) Run an A/R sheet monthly to look for high/unchanging balances that are not being paid (excludes personal injury and cash accounts)
(g) Keep track of accounts that are not paying and work with Client as needed to get accounts paid.
(h) Send week-ending reports showing patients seen, services rendered, charges, adjustments off, payments with their totals.
(i) Compare billed patient against sign-in sheet to assure every patient is billed.
(j) Additional reports as requested by Client such as quarterly sales tax and supplement sales totals, copy of A/R monthly, billed accounts on the days billing is done, and occasional other reports from Forte.