What services does MSO agree to furnish the Advanced Mobile Iv And Amiv provider with?
Advanced_Mobile_Iv_And_Amiv Franchise · 2023 FDDAnswer from 2023 FDD Document
A. Management and Administrative Services. MSO shall provide management and administrative services (collectively, "Management and Administrative Services") with respect to the Provider conducted by Provider at the Provider Site, including: (1) Operational Management. MSO shall provide operational services for Provider’s services at the Provider Site.
58 – ADVANCED MOBILE IV FRANCHISE AGREEMENT
Source: Item 23 — RECEIPTS (FDD pages 54–202)
What This Means (2023 FDD)
According to the 2023 Advanced Mobile Iv And Amiv Franchise Disclosure Document, MSO (Management Services Organization) provides specific services to the Advanced Mobile Iv And Amiv provider. These services include management and administrative support for the provider's operations at the Provider Site. This encompasses operational services to aid in the Provider's service delivery.
If applicable, MSO may provide a Provider Site for the non-exclusive use of the franchisee. MSO is responsible for the lessee maintenance and repair obligations for the Provider Site, as required by the lease agreement between MSO and its landlord. MSO will also handle utilities and building services related to the franchisee's use of the premises. However, the franchisee is responsible for reimbursing MSO for the costs associated with the space, including rent, tenant improvements, utilities, property taxes, insurance, housekeeping, and facility maintenance. The franchisee must also indemnify MSO for any damages to the Provider Site caused by the franchisee or their personnel.
Additionally, MSO acts as the exclusive billing agent for the Advanced Mobile Iv And Amiv provider. MSO prepares, distributes, and processes bills for professional services rendered, based on information provided by the franchisee. This includes handling reports and forms required by insurance companies and other third-party payers, responding to billing inquiries from patients and payers, and pursuing the collection of unpaid bills. All billings are conducted in the name of the franchisee, using their billing numbers, and identifying the provider of professional services. MSO is responsible for obtaining and maintaining all necessary demographic and financial information for billing and reimbursement purposes.
However, the franchisee is responsible for ensuring the accuracy and completeness of coding associated with claims and the medical necessity of the services billed. The franchisee must also provide MSO with all necessary records, information, and assistance to facilitate the billing and collection services, including copies of Explanation of Benefits forms and records of payments received directly from patients. MSO uses a scheduling and billing software managed by the franchise system, and the franchisee grants MSO the right to use this software for medical claims and payment collection. All patient information is kept confidential and disclosed only to parties necessary for processing claims.