EXHIBIT A
FEES AND SERVICES; AND CLIENT DUTIES
A. Fees.
1. For the 1st year Term, NGH will provide an Invoice to Client every month with Patients processed and eligible for reimbursement. The invoiced amounts are to be as laid out in Exhibit B. per month for each complete Remote Patient Monitoring patient; and CCM patient. Thereafter, the pricing might be adjusted annually to reflect changes in policy.
B. Services.
1. Provide Client with a software suite, Bluetooth medical devices and associated services for CCS.
2. In collaboration with and assistance from NGH, Client will implement the NuGen SaaS suite on site at the Client’s clinic(s).
3. Provide necessary staff to perform the CCS services for Client’s patients.
4. Provide necessary training to Clients’ staff to ensure proper use of NGH’s products and services.
5. NGH will be responsible for providing FDA-cleared, CMS approved medical devices for Remote Patient Monitoring, technical assistance, device connection, and data reporting.
6. NGH will identify any patient threshold breeches so action can be taken in real time to avoid hospitalizations and gives the ability to direct care as appropriate.
7. NGH will seek improvement in patient medication compliance with the direct reminders (voice/text) for the patients to take their medications.
8. NGH will perform outbound calls and reviews of the patient’s health plan/care plan to direct, train and encourage compliance on medication, pain levels, and ensuring frequency of uploads of prescribed data such as glucose, blood pressure, weight, temperature, oxygen level, etc.
9. NGH will provide a dashboard provides the MA and the Physician with an easy to view, patient by patient, status as well as end of the month billing documentation.
10. NGH will provide a 24 hour call in number for emergencies.
11. NGH will provide manage oversight and continued software, hardware updates and improvements training and retraining of staff.
12. NGH will provide at the end of each billing period the documentation for Client to bill for the patients conforming to the set of standards required by CMS for reimbursement.
13. The parties agree to act in good faith to ensure success and will evaluate the reimbursements on a quarterly basis to assess any changes in reimbursement.
14. If PVFM requests customized or enhanced system designs or additional equipment, then NGH will bill at the scheduled rates in the IT support section below.
C. Client Duties.
1. Provide NGH’s Medical Assistants (MA’s) with desk space and computers to engage and register patients, coordinate connected patient care, and conduct the RPM and CCM patient service.
2. Client will be responsible for managing NGH medical device inventory located on site and will not allow devices to be given to non enrolled patients as well as replace any shortage at their expense.
3. Client agrees to sign a Business Associates Agreement (BAA) with NGH to comply with all HIPAA regulations.
4. Upon proof of concept and both parties agreement, Client shall integrate the eClinicalworks Electronic Health Record (EHR) with the NuGenHealth system for billing, data exchange, analytic analysis, and population health management to be conducted by NGH and shared with Client.
5. At the end of the collection period which shall be 30 days from the invoice received from NGH the Client will pay NGH in full for the invoice for the processed patients.
6. Client agrees to cooperate and comply with any and all audit requests by NGH’s auditors or other audits by any governmental agency as may be requested and/or required.
FEES AND SERVICES; AND CLIENT DUTIES
A. Fees.
1. For the 1st year Term, NGH will provide an Invoice to Client every month with Patients processed and eligible for reimbursement. The invoiced amounts are to be as laid out in Exhibit B. per month for each complete Remote Patient Monitoring patient; and CCM patient. Thereafter, the pricing might be adjusted annually to reflect changes in policy.
B. Services.
1. Provide Client with a software suite, Bluetooth medical devices and associated services for CCS.
2. In collaboration with and assistance from NGH, Client will implement the NuGen SaaS suite on site at the Client’s clinic(s).
3. Provide necessary staff to perform the CCS services for Client’s patients.
4. Provide necessary training to Clients’ staff to ensure proper use of NGH’s products and services.
5. NGH will be responsible for providing FDA-cleared, CMS approved medical devices for Remote Patient Monitoring, technical assistance, device connection, and data reporting.
6. NGH will identify any patient threshold breeches so action can be taken in real time to avoid hospitalizations and gives the ability to direct care as appropriate.
7. NGH will seek improvement in patient medication compliance with the direct reminders (voice/text) for the patients to take their medications.
8. NGH will perform outbound calls and reviews of the patient’s health plan/care plan to direct, train and encourage compliance on medication, pain levels, and ensuring frequency of uploads of prescribed data such as glucose, blood pressure, weight, temperature, oxygen level, etc.
9. NGH will provide a dashboard provides the MA and the Physician with an easy to view, patient by patient, status as well as end of the month billing documentation.
10. NGH will provide a 24 hour call in number for emergencies.
11. NGH will provide manage oversight and continued software, hardware updates and improvements training and retraining of staff.
12. NGH will provide at the end of each billing period the documentation for Client to bill for the patients conforming to the set of standards required by CMS for reimbursement.
13. The parties agree to act in good faith to ensure success and will evaluate the reimbursements on a quarterly basis to assess any changes in reimbursement.
14. If PVFM requests customized or enhanced system designs or additional equipment, then NGH will bill at the scheduled rates in the IT support section below.
C. Client Duties.
1. Provide NGH’s Medical Assistants (MA’s) with desk space and computers to engage and register patients, coordinate connected patient care, and conduct the RPM and CCM patient service.
2. Client will be responsible for managing NGH medical device inventory located on site and will not allow devices to be given to non enrolled patients as well as replace any shortage at their expense.
3. Client agrees to sign a Business Associates Agreement (BAA) with NGH to comply with all HIPAA regulations.
4. Upon proof of concept and both parties agreement, Client shall integrate the eClinicalworks Electronic Health Record (EHR) with the NuGenHealth system for billing, data exchange, analytic analysis, and population health management to be conducted by NGH and shared with Client.
5. At the end of the collection period which shall be 30 days from the invoice received from NGH the Client will pay NGH in full for the invoice for the processed patients.
6. Client agrees to cooperate and comply with any and all audit requests by NGH’s auditors or other audits by any governmental agency as may be requested and/or required.
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Disclaimer: Of course, all of this is my opinion and you should not make any investment decisions based on my opinion. I have not received any non-public information.
