Provider Billing and Coding
Terms and Conditions
Effective Date: 01/01/2025
These Terms and Conditions (“Terms”) govern your access to and use of the services provided by Provider Billing and Coding (“Company,” “we,” “us,” or “our”). By accessing or using our services, you agree to comply with and be bound by these Terms. If you do not agree, you should not use our services.
1. Acceptance of Terms
By entering into a service agreement, accessing our website, or utilizing our billing and coding services, you acknowledge that you have read, understood, and agree to be bound by these Terms and Conditions.
2. Scope of Services
Provider Billing and Coding provides medical billing, coding, credentialing support, claims submission, revenue cycle management, and related administrative services on behalf of healthcare providers.
You agree to:
Provide accurate and complete information necessary for billing and claims processing
Maintain compliance with applicable healthcare laws and regulations
Cooperate in a timely manner with requests for documentation or clarification
By agreeing to receive messages from Provider Billing and Coding, you understand that message frequency may vary and message/data rates may apply. Reply STOP to opt out of text communications.
3. Client Responsibilities
Healthcare providers are responsible for:
Ensuring accuracy of clinical documentation
Compliance with federal and state regulations
Proper supervision of services rendered
Timely submission of required documentation
Provider Billing and Coding is not responsible for claim denials resulting from incomplete, inaccurate, or untimely documentation supplied by the client.
4. Payment and Fees
Fees for services will be outlined in a separate service agreement or contract.
Payment terms must be honored as agreed upon in writing.
Late payments may result in service suspension or termination.
The Company reserves the right to charge late fees where permitted by law.
5. No Clinical, Medical, or Legal Advice
Provider Billing and Coding provides administrative and billing support services only. We do not provide medical, clinical, or legal advice. Providers remain solely responsible for patient care, diagnosis, treatment decisions, and legal compliance.
6. Limitation of Liability
To the fullest extent permitted by law:
Provider Billing and Coding shall not be liable for indirect, incidental, special, consequential, or punitive damages.
We do not guarantee reimbursement amounts, claim approvals, or payer processing timelines.
Services are provided “as is” without warranties of any kind, express or implied.
7. Confidentiality and Compliance
We maintain safeguards consistent with applicable privacy and security regulations, including HIPAA. Both parties agree to maintain the confidentiality of protected health information and sensitive business data.
Where applicable, a separate Business Associate Agreement (BAA) will govern HIPAA obligations.
8. Intellectual Property
All content, materials, processes, templates, software configurations, and branding associated with Provider Billing and Coding remain the exclusive property of the Company. No materials may be copied, modified, distributed, or reproduced without written permission.
9. Termination
We reserve the right to suspend or terminate services if:
A client violates these Terms
Required payments are not made
Unlawful or fraudulent activities are identified
There is non-compliance with applicable regulations
Termination procedures and notice requirements may be further defined in the service agreement.
10. Modifications to Terms
We reserve the right to update or modify these Terms and Conditions at any time. Continued use of our services after changes are posted constitutes acceptance of the revised Terms.
11. Governing Law
These Terms shall be governed by and construed in accordance with the laws of the state in which Provider Billing and Coding is registered, without regard to conflict of law principles.
12. Contact Information
For questions regarding these Terms and Conditions, please contact:
Provider Billing and Coding
1813 N. Mill St, Suite H, Naperville, IL 60563
847-393-9100
info@providerbillingandcoding.com
www.providerbillingandcoding.com
By engaging our services, you acknowledge that you have read and agree to these Terms and Conditions.