These Terms and Conditions (“Terms”) govern access to and use of the services provided by HealthWave RCM Partners. Please read them carefully. By engaging the Company, the Client agrees to be bound by these Terms.
Acceptance of Terms
These Terms and Conditions (“Terms”) govern access to and use of the services provided by HealthWave RCM Partners (“Company”). By engaging the Company, the client (“Client”) agrees to be bound by these Terms.
Scope of Services
The Company provides revenue cycle management (RCM) services to healthcare organizations, including but not limited to:
- Medical billing and charge processing
- Coding support and review (ICD, CPT)
- Claims submission and tracking
- Denial management and appeals coordination
- Accounts receivable (AR) management
- Eligibility and insurance verification
Services are administrative in nature and are performed based on data, documentation, and system access provided by the Client.
Non-Clinical Services
The Company does not provide medical, diagnostic, or treatment services.
All clinical documentation, coding justification, and patient care decisions remain the sole responsibility of the Client.
Client Obligations
The Client shall:
- Provide accurate, complete, and timely information
- Maintain compliance with all applicable healthcare laws and payer requirements
- Ensure that all submitted claims are supported by appropriate clinical documentation
- Provide necessary access to systems, including EHR, practice management, and clearinghouse platforms
The Company is not responsible for claim outcomes resulting from incomplete, inaccurate, or delayed information provided by the Client.
Data Access, Use, and Confidentiality
In connection with the Services, the Company may access protected health information (PHI) and other sensitive data.
- All data is processed strictly for service delivery
- Access is limited to authorized personnel
- Confidentiality obligations apply to all employees, contractors, and offshore staff
The Company acts solely as a data processor on behalf of the Client and does not assume ownership of Client or patient data.
Security and Safeguards
The Company maintains administrative and operational safeguards designed to protect data from unauthorized access, use, or disclosure.
While commercially reasonable measures are implemented, the Company does not warrant that systems are completely immune from external threats.
Fees and Payment
Fees are determined pursuant to a separate agreement between the Company and the Client and may include fixed fees, percentage-based compensation, or hybrid structures.
Failure to remit payment in accordance with agreed terms may result in suspension or termination of services.
No Warranty; No Guarantee of Results
Services are provided on an “as-is” and “as-available” basis.
The Company does not guarantee:
- Specific reimbursement outcomes
- Reduction in denials
- Revenue increases
Performance is dependent on payer behavior, documentation quality, and external variables beyond the Company’s control.
Limitation of Liability
To the maximum extent permitted by law, the Company shall not be liable for:
- Denied or delayed claims
- Payer determinations or policy changes
- Data inaccuracies provided by the Client
- Indirect, incidental, or consequential damages
Third-Party Systems
The Company may utilize third-party platforms, including electronic health record systems, clearinghouses, and communication tools.
The Company is not responsible for the availability, accuracy, or performance of such systems.
Service Modifications
The Company reserves the right to modify, suspend, or discontinue any aspect of its services at its discretion, with reasonable notice where applicable.
Termination
Either party may terminate services pursuant to the terms of a separate agreement.
Upon termination:
- Client access may be adjusted or revoked
- Outstanding balances remain payable
- Transition support may be provided at the Company’s discretion
Governing Law
These Terms shall be governed by and construed in accordance with applicable state laws.
Amendments
The Company may update these Terms periodically. Continued engagement constitutes acceptance of the revised Terms.