Data Monitoring and Medical Billing Terms and Conditions

a. Identify Clinical Contact. Customer is responsible for identifying a point of contact (“Clinical Contact”) within Customer’s practice to remain available to communicate with HWS as needed. There must be at least one Clinical Contact available at all times during Business Hours to be responsible for taking calls from HWS Clinical Staff and escalating interventions to a physician, as necessary.
b. Identify Clinical Protocol. Customer is responsible for establishing monitoring parameters for each Participating Patient via the Software and must enter relevant parameters for each Participating Patient enrolled in the Services. Customer is solely responsible for the accuracy and appropriateness of these parameters. HWS Clinical Staff will monitor PHI according to the parameters established by the Customer.
c. Identify Participating Patients. Customer is responsible for identifying high-risk patients who will benefit from Virtual Care Services and providing HWS with required Participating Patient information including but not limited to Participating Patient demographic information, insurance information, disease state, and other data required by HWS to enroll Participating Patients.
d. Obtain Consent from Participating Patients. Customer is responsible for obtaining face-to-face Participating Patient consent to participate in the Services as required by and defined by The Centers for Medicare and Medicaid Services (“CMS”). Customer shall obtain and document this consent and any other necessary patient consent, authorization, or other agreements that are required to enroll a Participating Patient in the Services.
e. Patient Copay and Deductible. Customer is responsible for collecting any required patient copay, coinsurance, or deductible required by the Patient Participant’s health insurance plan.
f. Participate in Rapid Enrollment of Participating Patients. Customer and Authorized Users must participate in the HWS Rapid Enrollment process. This includes but is not limited to, providing all required recordings for patient Rapid Enrollment, and attending patient review meetings initially and at thirty (30), sixty (60), and ninety (90) day intervals throughout the patient Rapid Enrollment period.
g. Supervision. Customer is responsible for General Supervision of HWS Clinical Staff as needed, where “General Supervision” is defined as a physician or other billing provider providing overall direction and control in accordance with applicable billing requirements set forth under Medicare. Under General Supervision, Customer remains ultimately responsible for oversight of the monitoring services.
h. Electronic Medical Record Access and Documentation.

i. Access for Patient Identification and Onboarding. Customer is responsible for providing HWS with view-only administrator-level access to the Customer’s Electronic Medical Record (“EMR”) and Electronic Practice Management Software to provide HWS with patient demographic, patient data required to provide the Services, and insurance information in a Consolidated-Clinical Document Architecture (C-CDA) or comma-separated values (CSV) electronic format to assist HWS and Customer in identifying and enrolling Participating Patients. Customer is responsible for ensuring the accuracy, quality, integrity, legality, reliability, and appropriateness of data accessed through the Customer’s EMR. ii. Access for Medical Billing Services. Customer will provide access to its Electronic Medical Record (“EMR”) and Electronic Practice Management Software to HWS and its subcontractor(s) as necessary to allow HWS to provide Medical Billing Services. If Customer’s EMR is not compatible with HWS’s billing practices or processes, Customer will work with HWS and its subcontractor(s) to integrate its billing system with HWS’s billing practices and processes as necessary to allow HWS to provide the Billing Services.

i. Provide Patient Escalation Protocol. Customer will provide HWS with a written patient escalation protocol without unreasonable delay and within five (5) business days of the Order Form. j. Provide Credentialing Access. Customer must provide HWS and its subcontractor(s) with credentialing access and all necessary and reasonably requested documentation to allow for HWS and subcontractor(s) to submit claims to health insurance providers, including Medicaid and Medicare on Customer’s behalf (“Documentation”). Such Documentation may include without limitation Customer’s National Provider Identifier (“NPI”), Provider Transaction Access Number (“PTAN”), and/or Customer’s Tax Identification Number (“TIN”). Customer is responsible for confirming the accuracy and completeness of all documents and information provided. k. Claim Approval. Customer is responsible for approving all claims submitted by HWS to healthcare insurance providers, including Medicare and Medicaid

l. Medical Treatment and Advice. Customer is responsible for making all treatment decisions and providing medical care with respect to all Participating Patients and any escalations forwarded to Customer by HWS. HWS and its Clinical Staff are not medical providers and are not intended to replace the relationship between Participating Patients and their healthcare provider(s). HWS CAN NOT BE HELD RESPONSIBLE FOR SUB-STANDARD TREATMENT OR MEDICAL MALPRACTICE WITH RESPECT TO ANY PARTICIPATING PATIENT. Please review the Software License & General Terms and Device Terms & Conditions for additional disclaimers.