1. Acceptance of Terms
Welcome to Vita Health RCM. By accessing our web properties, requesting practice audits, or engaging our Revenue Cycle Management (RCM) solutions, you agree to be legally bound by these Terms of Service and our Privacy Policy. If you do not agree with any provision of these terms, you must discontinue use of our services immediately.
2. Services Provided
Vita Health RCM provides healthcare operational and revenue cycle management services including, but not limited to:
- Medical Coding (ICD-10-CM/PCS, CPT, HCPCS Level II)
- Electronic Claims Formatting, Clearinghouse Scrubbing, and Submission
- Accounts Receivable (A/R) Follow-up and Payer Denial Arbitration
- Provider Credentialing, Re-validation, and Payer Enrollment
- Patient Demographic Ingestion, Eligibility, and Pre-Authorization Verification
While Vita Health RCM executes rigorous multi-tier quality assurance edits, ultimate clinical medical necessity determination and documentation accuracy remain the legal responsibility of the healthcare provider.
3. HIPAA Compliance & Confidentiality
We enforce administrative, technical, and physical safeguards in accordance with the HIPAA Security Rule. All cross-border data transfer to our Mumbai Global Delivery Center operates strictly through secure, encrypted point-to-point VPN tunnels with biometric facility access and paperless clean-desk restrictions.
4. Client Responsibilities
To ensure optimal reimbursement speed and clean claim rates, the Client (Healthcare Practice or Organization) agrees to:
- Furnish complete, legible, and accurate clinical documentation, patient demographics, and payer policy details.
- Respond to coding clarification queries and medical necessity requests within 48 business hours.
- Promptly notify Vita Health RCM of any updates to provider enrollment, NPI registrations, or practice Tax IDs.
- Maintain practice-level compliance with applicable federal, state, and private payer billing regulations.
5. Fees and Payments
Service compensation models are governed by the specific Service Level Agreement (SLA) executed between the parties. Typical billing models include:
- Performance-Based Percentage: Invoiced monthly based on net collections received from commercial and government payers.
- Dedicated FTE Model: Fixed monthly rate for dedicated certified coding or billing analysts.
Standard invoices are payable within 15 calendar days of receipt. Delinquent accounts may be subject to interest charges as detailed in the governing SLA.
6. Termination
Either party may terminate the business agreement with 30 days' advance written notice unless an alternative duration is specified in your executed SLA. Upon contract termination, Vita Health RCM will execute a secure, encrypted handover of all historical reports, pending claim queues, and data logs.
7. Contact Information
For questions regarding these Terms of Service or regulatory agreements, please contact our compliance desk:
Compliance Officer – Vita Health RCM
30 N Gould St, Ste R, Sheriden, WY 82801
Email: Solutions@vitahealthrcm.com
Phone: +1 (240) 256-6786