Revenue Cycle Consulting Services Sample Clauses

Revenue Cycle Consulting Services. The parties acknowledge that there are three components of revenue cycle: (i) front end, (ii) middle level, and (iii) back end. Front end revenue cycle generally includes scheduling, pre-service clearance, registration, payer credentialing, and case management / utilization review services. Middle level revenue cycle generally includes coding, HIM clinical documentation, charge capture, and pricing. Back end revenue cycle generally includes claims processing, denial management, collections, and accounts receivables management. Manager will arrange for the Hospitals to separately contract with third-party vendors to perform (i) all revenue cycle components for the Hospitals facility services for services provided by the Hospitals prior to the Effective Date and the front end and middle level revenue cycle components for the Hospitals’ facility services for services provided by the Hospitals on or after the Effective Date; and (ii) all revenue cycle components for the Practitioners’ (as defined in Exhibit C) professional services until approximately July 1, 2019, at which time the Hospitals’ third-party vendor(s) shall provide only the front-end and middle level revenue cycle components, with the exception of coding and clinical documentation for the Practitioners’ professional services which shall be provided by Manager in accordance with Exhibit C. The OLH Entities shall be solely responsible for the fees incurred by the Hospitals for any and all such third-party vendor revenue cycle services. However, Manager shall provide Consulting Services to the OLH Entities in connection with such third-party vendor provided revenue cycle services through Manager’s Departments as set forth on Table 2 of Exhibit D. These Consulting Services shall be covered by the Centralized Administrative Support Fee; provided, however, that subject to the limitation set forth in ARTICLE IV and Section 7.4 regarding Excess Expenditures, any expenses or fees incurred by Manager for third-party consultants, subcontractors, additional personnel dedicated to the OLH Entities, or vendors or any other category of expenses or fees set forth on Table 1 of Exhibit D in connection with its provision of these services constitute Reimbursable Costs and are not covered by the Centralized Administrative Support Fee. In addition, in accordance with Exhibit B and Exhibit C, Manager shall directly provide the Facility Billing and Collection Services as of the Effective Date and Professional Coding, ...