ParaMed provides professional administrative and consultative services to healthcare providers, facilities, and hospitals across the United States. Our core service offerings include:

• Medical Billing and Claims Processing — end-to-end claim submission, tracking, and payment posting across all major payers
• Provider Credentialing and Enrollment — CAQH management, payer enrollment, and re-credentialing for all provider types
• Revenue Cycle Management (RCM) — comprehensive RCM strategy, analytics, and performance optimization
• Accounts Receivable (A/R) Recovery — systematic follow-up on unpaid and denied claims to maximize collections
• Compliance and Denial Management — root cause analysis, appeal preparation, and compliance audit support

To ensure the accuracy, compliance, and efficiency of our Services, the Client agrees to fulfill the following responsibilities throughout the engagement:

• Provide accurate, complete, and timely encounter data and patient information for every billable service
• Maintain all necessary clinical documentation required to support billed claims, including medical necessity records, progress notes, and orders
• Ensure all providers are legally licensed and authorized to perform the services being billed in the applicable state
• Notify ParaMed immediately of any changes in practice ownership, provider status, payer contracts, fee schedules, or operational structure
• Respond to requests for additional information or documentation within the timeframes specified to avoid claim filing deadline risk
• Designate a primary point of contact who can authorize billing decisions and respond to compliance inquiries

ParaMed's fee structure is transparent and outlined in detail in your individual Service Agreement. The following provisions govern all payment terms:

ParaMed is committed to maintaining the highest standards of data security and regulatory compliance across all services and all states in which we operate.

• Business Associate Agreement (BAA): We execute a BAA with every Client to ensure the protection of Protected Health Information (PHI) in accordance with HIPAA and HITECH regulations
• Data Security: All PHI is transmitted and stored using 256-bit AES encryption on SOC 2 Type II certified infrastructure with role-based access controls
• Clinical Responsibility: While ParaMed provides coding and billing guidance, the final responsibility for medical necessity determination and clinical documentation rests solely with the Client's licensed clinical staff
• OIG Compliance: ParaMed performs monthly OIG exclusion list screening for all staff assigned to client accounts
• Audit Support: In the event of a payer or government audit, ParaMed will provide available billing records and documentation to support the Client's defense

The duration and termination provisions of the Services are designed to protect both parties and ensure a smooth transition of billing responsibilities.

• Duration: These Terms remain in effect for the duration of any active Service Agreement between the Client and ParaMed
• Termination Notice: Either party may terminate the partnership according to the notice period specified in the individual Service Agreement — typically 30, 60, or 90 days written notice
• Post-Termination Obligations: Upon termination, ParaMed will provide final billing reports, outstanding AR status, and transition data as outlined in the Service Agreement, provided all outstanding balances are paid in full
• Immediate Termination: ParaMed reserves the right to terminate immediately in the event of Client fraud, material misrepresentation, or serious compliance violations

ParaMed provides billing and administrative services with the highest level of professional diligence. However, certain outcomes are beyond our control and are expressly excluded from our liability:

• Denials or loss of revenue resulting from inaccurate, incomplete, or untimely data provided by the Client
• Clinical necessity disputes where payer decisions are based on clinical documentation outside ParaMed's control
• Changes in payer policies, fee schedules, Local Coverage Determinations (LCDs), or regulatory requirements that affect reimbursement
• Revenue loss arising from the Client's failure to maintain proper licensure, credentialing, or facility certification
• Indirect, consequential, or punitive damages of any kind arising from the use of our services

ParaMed may communicate with you via email, SMS, and phone for account-related purposes. By providing your contact information, you agree to the following communication terms:

• You consent to receive account-related updates, payment confirmations, enrollment status alerts, and billing reminders via email or SMS
• Message and data rates may apply depending on your mobile carrier and plan
• You may opt out of SMS communications at any time by replying "STOP" to any SMS message from ParaMed
• You may opt out of marketing emails by clicking the unsubscribe link in any email communication
• Transactional and account-critical messages (such as audit notices or payment failures) may still be sent after opt-out of marketing communications

These Terms and any disputes arising from them shall be governed by and construed in accordance with applicable law:

• These Terms shall be governed by the laws of the state in which ParaMed Billing Solutions Inc. is legally incorporated, without regard to its conflict of law provisions
• Any legal action or proceeding arising under these Terms shall be brought exclusively in the state or federal courts located in that jurisdiction
• Both parties consent to personal jurisdiction in such courts and waive any objection to venue
• Any claim must be brought within one (1) year of the event giving rise to the claim, or be forever barred

If you have any questions, concerns, or require clarification regarding these Terms and Conditions, please contact us through any of the following channels: