Terms & Conditions

Welcome to Doc Flow RCM ("Company," "we," "our," or "us"). These Terms and Conditions ("Terms") govern your access to and use of our website at docflowrcm.com, as well as any consultations, audits, or healthcare revenue cycle management (RCM) services we provide. By accessing or using our website, you agree to be bound by these Terms.

1. Scope of Services & Service Agreements

Doc Flow RCM provides business-to-business (B2B) medical billing, coding, credentialing, eligibility verification, prior authorization, payment posting, accounts receivable recovery, and front-desk support services to healthcare providers and medical practices across the United States.

2. Client & Provider Responsibilities

To ensure accurate and compliant medical billing and coding operations, client healthcare practices are responsible for:

• Clinical Documentation Accuracy: Ensuring that all medical records, encounter notes, operative reports, and diagnostic orders are complete, accurate, and signed by the rendering provider.
• Timely Data Access: Providing authorized, HIPAA-compliant access to the practice’s Electronic Health Record (EHR), Practice Management (PM) software, clearinghouse, and payer portals.
• Regulatory Compliance: Maintaining active state medical licenses, DEA registrations, NPI records, and compliance with federal and state healthcare regulations (including CMS, OIG, and Stark/Anti-Kickback laws).

3. HIPAA & Confidentiality

Both Doc Flow RCM and our healthcare clients agree to maintain the strict confidentiality of all Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and HITECH Act. Website visitors should not submit patient medical records or sensitive PHI through public website contact forms.

4. Fees, Invoicing & Payment Terms

Pricing for our services—whether structured as a percentage of net collections, a flat monthly Full-Time Equivalent (FTE) rate, or a per-project/credentialing fee—is specified in each client’s individual Service Agreement. Invoices are issued monthly and are payable within the timeframe stated in your Service Agreement.

5. Intellectual Property Rights

All content on docflowrcm.com—including text, graphics, logos, custom workflows, code, and design elements—is the exclusive property of Doc Flow RCM and is protected by United States copyright and trademark laws. You may not copy, reproduce, or distribute our website content without prior written consent.

6. No Guarantee of Payer Reimbursement & Limitation of Liability

While Doc Flow RCM utilizes certified coders and rigorous claim scrubbing to maximize clean claims and collections, final claim adjudication and payment remain subject to insurance payer policies, patient benefit coverage, and clinical medical necessity. To the fullest extent permitted by law, Doc Flow RCM shall not be liable for indirect, incidental, or consequential damages arising from payer delays, policy denials, or third-party EHR/clearinghouse outages.

7. SMS & Electronic Communications

By submitting your contact information on our website, you consent to receive business communications via email, phone, or SMS from Doc Flow RCM regarding your inquiry or account. Standard message and data rates may apply. You may opt out of SMS communications at any time by replying "STOP".

8. Governing Law & Modifications

These Terms shall be governed by and construed in accordance with the laws of the United States and the State of Texas, without regard to conflict of law principles. We reserve the right to update or modify these Terms at any time by posting the revised version on this page.