Terms of Service

These Terms of Service (“Terms”) constitute a legally binding agreement between you (“Client,” “you,” or “your”) and Satiscal Billing Solutions (“Satiscal,” “we,” “us,” or “our”) regarding your use of our medical billing and revenue cycle management services.

By engaging our services, you agree to be bound by these Terms. Please read them carefully.

1. Services Provided

Satiscal provides comprehensive medical billing and revenue cycle management services, including but not limited to:

1.1 Core Billing Services

• Medical coding (CPT, ICD-10, HCPCS) and charge entry
• Insurance claim submission and tracking
• Payment posting and reconciliation
• Patient billing and statement generation
• Denial management and appeals processing
• Accounts receivable follow-up and collections

1.2 Credentialing Services

• Provider enrollment with insurance networks
• CAQH profile creation and maintenance
• License and certification verification
• Re-credentialing and ongoing compliance monitoring

1.3 Additional Services

• Prior authorization management
• Insurance verification and eligibility checks
• Financial reporting and analytics
• Compliance monitoring and audit support
• Dedicated account management

2. Pricing and Payment Terms

2.1 Fee Structure

Satiscal operates on a percentage of collections basis:

• Standard rate: 4-8% of net collections, depending on specialty and volume
• You only pay when we successfully collect payments
• No upfront costs or setup fees
• No hidden charges or surprise fees

2.2 Additional Costs

The following costs are separate from our service fees:

• Clearinghouse fees (typically $50-100/month)
• Postage for patient statements (if applicable)
• Credit card processing fees for patient payments

2.3 Payment Schedule

Service fees are calculated monthly based on collections received during the billing period. Invoices are issued on the 1st of each month and payment is due within 15 days.

3. Client Responsibilities

To ensure optimal service delivery, you agree to:

3.1 System Access

• Provide timely access to your EHR/Practice Management system
• Maintain secure login credentials for authorized Satiscal staff
• Notify us immediately of any system changes or upgrades

3.2 Documentation and Information

• Provide complete and accurate patient encounter documentation
• Supply current fee schedules and payer contracts
• Share provider credentials and licensing information
• Respond to information requests within 48 business hours

3.3 Compliance

• Maintain current medical licenses and certifications
• Ensure all clinical documentation supports billed services
• Comply with all applicable healthcare regulations
• Report suspected fraud or compliance issues immediately

3.4 Communication

• Designate a primary contact person for Satiscal communications
• Attend regular review meetings (monthly or as agreed)
• Review and approve reports and recommendations

4. Satiscal Responsibilities

Satiscal commits to:

• Process claims accurately and in compliance with payer requirements
• Follow up on unpaid claims within industry-standard timeframes
• Maintain HIPAA compliance for all PHI handling
• Provide regular reporting on practice financial performance
• Respond to client inquiries within 1 business day
• Assign a dedicated account manager to your practice
• Conduct ongoing staff training on coding and billing updates
• Implement best practices to maximize collections

5. Service Level Agreements

Satiscal strives to achieve and maintain the following performance benchmarks:

• Clean Claim Rate: 95% or higher on first submission
• Days in AR: Reduce to 30 days or less (specialty-dependent)
• Denial Rate: Maintain below 3% of submitted claims
• Collection Rate: 95%+ of expected reimbursement
• Claim Submission: Within 24-48 hours of charge entry
• Payment Posting: Within 24 hours of receipt

Note: Actual results may vary based on specialty, payer mix, and documentation quality.

6. Contract Term and Termination

6.1 Agreement Term

This agreement operates on a month-to-month basis with no long-term contract required. We believe in earning your business every month through exceptional service and results.

6.2 Satisfaction Guarantee

We offer a 90-day satisfaction guarantee. If you’re not completely satisfied with our services within the first 90 days, you may terminate this agreement with 30 days’ written notice and no penalties.

6.3 Termination by Client

After the initial 90-day period, either party may terminate this agreement with 30 days’ written notice. You will be responsible for fees accrued through the termination date.

6.4 Termination by Satiscal

Satiscal may terminate this agreement immediately upon written notice if:

• Client fails to provide necessary system access or documentation
• Client engages in fraudulent or illegal billing practices
• Client’s payment is more than 60 days overdue
• Client breaches any material term of this agreement

6.5 Transition Assistance

Upon termination, Satiscal will provide reasonable transition assistance for up to 30 days, including transfer of billing data, outstanding claim information, and documentation. Additional transition support beyond 30 days may be available at an hourly rate.

7. Confidentiality and Data Security

7.1 HIPAA Compliance

Satiscal is a HIPAA-covered business associate. We will execute a Business Associate Agreement (BAA) with all clients and maintain full compliance with HIPAA Privacy, Security, and Breach Notification Rules.

7.2 Confidential Information

Both parties agree to maintain the confidentiality of all proprietary and sensitive information, including:

• Patient health information (PHI)
• Financial data and fee schedules
• Business practices and strategies
• System access credentials

7.3 Data Security

Satiscal implements industry-leading security measures including encryption (AES-256), access controls, regular security audits, and 24/7 monitoring to protect all client and patient data. See our Privacy Policy for complete details.

8. Intellectual Property

8.1 Satiscal Property

Satiscal retains all rights to:

• Proprietary software, systems, and methodologies
• Report templates and formats
• Training materials and documentation
• Satiscal brand names, logos, and trademarks

8.2 Client Property

Client retains all rights to patient medical records, practice data, and proprietary clinical information. Upon request, Satiscal will return or securely destroy all client data.

9. Limitation of Liability

9.1 Professional Liability

Satiscal maintains professional liability (errors and omissions) insurance with coverage limits of $2,000,000 per occurrence and $5,000,000 aggregate.

9.2 Limitation of Liability

To the fullest extent permitted by law, Satiscal’s total liability for any claims arising from this agreement shall not exceed the fees paid by Client in the six months preceding the claim.

Satiscal shall not be liable for:

• Indirect, incidental, consequential, or punitive damages
• Lost profits or revenue
• Denials resulting from inadequate clinical documentation
• Payer policy changes or payment delays beyond our control
• System downtime or technical issues with client’s EHR/PM system

9.3 Client Indemnification

Client agrees to indemnify and hold Satiscal harmless from claims arising from: (a) Client’s breach of this agreement, (b) fraudulent or improper billing practices by Client, (c) inadequate clinical documentation, or (d) violations of healthcare regulations by Client.

10. Dispute Resolution

10.1 Good Faith Negotiations

In the event of any dispute, both parties agree to first attempt to resolve the matter through good faith negotiations.

10.2 Arbitration

If negotiations fail, disputes shall be resolved through binding arbitration in accordance with the American Arbitration Association’s Commercial Arbitration Rules. Arbitration shall take place in Sheridan, Wyoming or via videoconference.

10.3 Governing Law

This agreement shall be governed by the laws of the State of Wyoming, United States, without regard to conflict of law principles.

11. Force Majeure

Neither party shall be liable for delays or failures in performance resulting from circumstances beyond their reasonable control, including natural disasters, acts of war or terrorism, government regulations, pandemics, internet or utility failures, or other force majeure events. Performance obligations shall be suspended during such events and resume when circumstances permit.

12. Modifications to Terms

Satiscal reserves the right to modify these Terms with 30 days’ written notice to clients. Material changes will be communicated via email and posted on our website. Continued use of our services after the notice period constitutes acceptance of the modified Terms.

13. Entire Agreement

These Terms, together with any executed Service Agreement, Business Associate Agreement, and our Privacy Policy, constitute the entire agreement between the parties and supersede all prior negotiations, understandings, and agreements. No modification shall be valid unless in writing and signed by both parties.

14. Severability

If any provision of these Terms is found to be unenforceable or invalid, the remaining provisions shall continue in full force and effect. The invalid provision shall be replaced with a valid provision that most closely reflects the intent of the original.

15. Contact Information

Questions about these Terms? Contact us: