Terms & Conditions
These Terms govern your use of Revenify HealthCare's website and the engagement of our RCM, Medical Coding, and platform services.
Effective Date: June 20, 2025
Please Read Carefully: By accessing our website, requesting a proposal, or executing a Service Agreement with Revenify HealthCare, you acknowledge that you have read, understood, and agree to be bound by these Terms & Conditions. If you are entering into this agreement on behalf of an organization, you represent that you have authority to bind that organization.
These Terms & Conditions ("Terms") apply to all clients and website visitors. The specific scope, deliverables, fees, and operational terms for any engagement are set out in a separate Statement of Work (SOW) or Service Agreement, which takes precedence over these Terms in the event of a conflict.
For questions about these Terms, contact us at info@revenifyhealthcare.com.
Definitions
Company
"Company," "we," "us," or "our" refers to Revenify HealthCare, with registered offices at Unit No 203, 2nd Floor, Suite #835, SBR CV Towers, Sector-1, Sy No 64, HUDA Techno Enclave, Madhapur, Hyderabad — 500081, India.
Client / Covered Entity
"Client" means any healthcare provider, physician practice, health system, specialty group, or authorized representative that enters into a service agreement with the Company for RCM, medical coding, staffing, or platform services.
Services
"Services" means all revenue cycle management, medical coding, denial management, accounts receivable follow-up, credentialing, staffing, and MRR platform services provided by the Company as described in an executed Statement of Work (SOW) or Service Agreement.
PHI
"Protected Health Information" or "PHI" has the meaning given under HIPAA (45 CFR § 160.103) and includes any individually identifiable health information created, received, maintained, or transmitted by the Company on behalf of a Client.
BAA
"Business Associate Agreement" or "BAA" means the executed agreement between the Company and a Covered Entity Client governing the handling of PHI in accordance with HIPAA requirements.
Scope of Services
Service Agreement
All services are governed by a signed Statement of Work or Service Agreement that specifies scope, deliverables, timelines, and fees. These Terms & Conditions are incorporated by reference into every such agreement.
Medical Billing & Coding
We provide ICD-10, CPT, and HCPCS coding, charge entry, claims submission, clearinghouse management, and payer follow-up. Coding accuracy targets and quality benchmarks are defined in the applicable SOW.
RCM Services
Revenue Cycle Management services include eligibility verification, prior authorization support, payment posting, denial management, accounts receivable follow-up, and financial reporting.
MRR Platform
Access to our proprietary Medical Revenue Recovery (MRR) platform is provided on a subscription basis. Platform uptime targets, data export rights, and integration specifications are described in the platform addendum.
Staffing Services
Where contracted, we provide dedicated or shared offshore staffing resources who function as an extension of the Client's billing team under the Client's supervision and our quality oversight.
Client Obligations
Accurate Data Submission
Clients are responsible for providing accurate, complete, and timely patient demographic data, insurance information, encounter documentation, and charge information. The Company is not liable for claim denials or revenue losses arising from inaccurate or incomplete data supplied by the Client.
Timely Response
Clients must respond to requests for additional documentation, authorizations, and clarifications within the timeframes specified in the SOW. Delays caused by Client non-response that affect claim submission deadlines are the Client's responsibility.
Authorized Access
Clients must provide the Company with the system access, credentials, and payer enrollments necessary to perform contracted services. Clients are responsible for keeping such credentials current and revoking access upon contract termination.
Compliance
Clients warrant that all clinical documentation, coding queries, and instructions provided to the Company are lawful, medically accurate, and compliant with applicable federal and state regulations, including anti-kickback statutes and the False Claims Act.
Fees & Payment Terms
Fee Structure
Fees are as specified in the executed SOW and may be structured as a percentage of collections, a flat monthly fee, a per-claim fee, or a combination thereof. All fees are stated in United States Dollars (USD) unless otherwise agreed.
Invoicing & Payment
Invoices are issued monthly. Payment is due within fifteen (15) days of the invoice date unless otherwise specified in the SOW. Late payments accrue interest at 1.5% per month or the maximum rate permitted by law, whichever is lower.
Disputed Invoices
Clients must notify the Company in writing of any disputed invoice amount within ten (10) days of receipt. Undisputed portions must be paid by the due date.
Fee Adjustments
The Company reserves the right to adjust fees on thirty (30) days' written notice to reflect material changes in service scope, payer regulations, or cost of operations. Clients may terminate without penalty if they do not accept adjusted fees within the notice period.
HIPAA Compliance & Confidentiality
Business Associate Agreement
An executed BAA is a prerequisite to the Company accessing or handling any PHI on behalf of a Client. Clients agree to execute a BAA in the form provided by the Company before any services commence.
HIPAA Obligations
The Company will use and disclose PHI only as permitted under the BAA and HIPAA, implement required administrative, physical, and technical safeguards, and report any breach of PHI to the Client within the timeframes required by law.
Confidentiality
Both parties agree to keep confidential all non-public information disclosed in connection with the services — including pricing, technology, patient data, and business strategies — and not to disclose such information to third parties without prior written consent.
Survival
Confidentiality and HIPAA obligations survive the termination or expiration of the service agreement for as long as PHI or confidential information is retained, or as required by law.
Intellectual Property
Company Property
All intellectual property relating to the MRR platform, proprietary workflows, software, reports, and methodology developed by the Company remains the sole property of Revenify HealthCare. No license is granted to Clients beyond the right to use such tools for the contracted services.
Client Data
All patient data, billing records, and practice information provided by the Client remain the property of the Client. Upon termination, the Company will return or destroy Client data as directed under the BAA.
Feedback
Any feedback, suggestions, or enhancement requests provided by Clients may be incorporated into our services or platform without obligation to the Client.
Limitation of Liability
Liability Cap
To the maximum extent permitted by applicable law, the Company's total aggregate liability to a Client arising from or related to the services shall not exceed the total fees paid by the Client in the three (3) months preceding the claim.
Exclusions
In no event shall the Company be liable for indirect, incidental, special, consequential, or punitive damages — including lost revenue, data loss, business interruption, or payer audits — even if advised of the possibility of such damages.
Force Majeure
The Company is not liable for delays or failures caused by circumstances beyond its reasonable control, including natural disasters, telecommunications failures, government actions, payer system outages, or pandemics.
No Guarantee of Collections
The Company does not guarantee specific collection amounts, denial rates, or reimbursement outcomes. Revenue performance depends on factors including payer contracts, documentation quality, and regulatory changes outside the Company's control.
Termination
Termination for Convenience
Either party may terminate the service agreement for any reason on sixty (60) days' written notice, unless the SOW specifies a different notice period.
Termination for Cause
Either party may terminate immediately upon written notice if the other party materially breaches these Terms or the SOW and fails to cure such breach within thirty (30) days of written notice.
HIPAA Termination
The Company may terminate the BAA and cease processing PHI immediately if it determines that the Client has violated a material term of the BAA and such violation cannot be cured.
Effect of Termination
Upon termination, outstanding fees become immediately due and payable. The Company will complete in-progress claims in the queue at the time of termination notice, unless the Client requests otherwise. Data return or destruction procedures in the BAA govern the handling of PHI post-termination.
Governing Law & Disputes
Governing Law
These Terms are governed by the laws of the State of Telangana, India, and applicable federal laws of India, without regard to conflict of law principles. For clients based in the United States, US federal laws including HIPAA shall additionally apply to the handling of PHI.
Informal Resolution
In the event of a dispute, the parties agree to attempt resolution through good-faith negotiation for at least thirty (30) days before initiating formal proceedings.
Arbitration
Disputes not resolved informally shall be submitted to binding arbitration in Hyderabad, India under applicable arbitration rules, unless the Client is a US-based covered entity, in which case the parties may agree to jurisdiction in Travis County, Texas.
Severability
If any provision of these Terms is found unenforceable, the remaining provisions continue in full force. The unenforceable provision will be modified to the minimum extent necessary to make it enforceable.
Disclaimer of Warranties
Our website and platform are provided on an "as is" and "as available" basis without warranties of any kind, express or implied — including warranties of merchantability, fitness for a particular purpose, or non-infringement. We do not warrant that the website will be uninterrupted, error-free, or free of viruses or harmful components.
Changes to These Terms
We reserve the right to update these Terms at any time. Material changes will be communicated to active clients with at least thirty (30) days' notice. Continued use of our services after the effective date of updated Terms constitutes acceptance.
Questions About Our Terms?
Our team is happy to walk you through our service agreement, BAA, or any aspect of how we work with healthcare providers.