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HomeMy WebLinkAboutOur Lady of Lourdes Hospital - Medical Fee AgmtMEDICAL FEE AGREEMENT BETWEEN CITY OF PASCO AND OUR LADY OF LOURDES HOSPITAL THIS MEDICAL FEE AGREEMENT is entered into on this day of January, 2007, by and between the City of Pasco, Washington, a Municipal Corporation, hereinafter referred to as "City" and Our Lady of Lourdes Hospital, a nonprofit Corporation, hereinafter referred to as "Lourdes. " The Parties to this Agreement, in consideration of mutual covenants and stipulations set out herein agree as follows: 1. Purpose The City desires to utilize Lourdes' services for the care and well being of City prisoners /arrestees, hereinafter referred to as "patients." 2. Admission of Patient - Inmate City of Pasco Police Officers presenting patients under police custody will present City of Pasco billing forms to registration clerk upon admission. These Pasco billing forms will be provided by the Lourdes' registration clerk. Patients admitted to Lourdes while under City of Pasco Police custody will register using City of Pasco as patient guarantor. The City of Pasco shall provide an officer at bedside during treatment and/or admission. 3. Medical Care Medical care furnished by Lourdes will be the same level of care that is provided all other non - inmate patients admitted to Lourdes. 4. Medical Costs The City shall not be responsible for payment of costs covered by the Washington State Department of Social and Health Services, private medical insurances or any other federal or state funded medical programs. Lourdes shall process the appropriate forms to obtain payment from any other agency, insurance company, and shall exhaust all available sources of payment, including the patient, insurance, or other private or governmental agency that may be obligated to pay for such services. 5. Crediting of Amendments Any such payments so paid from any federal, state, or private source shall be first applied to the balance due for such services provided by Lourdes. Any payments received in excess of the balance shall be paid to the patient. '` ) 6. Fees In the event there is insufficient payments received from the patient, insurance or other responsible parties, the balance of charges remaining, after exhaustion of collection efforts, shall be home equally between Lourdes and the City. Upon completion of its collection efforts, Lourdes shall provide the City an invoice for services and the City shall pay Lourdes the sum equal to fifty percent (50 1/o) of the balance of charges due in full satisfaction of all obligations relating to medical costs and services provided to City patients related to that admission and constitute a waiver of any medical liens which may be assessed against the City. Relationship The Parties intend that an independent contractor relationship will be created by this Agreement. The City is interested only in the results to be achieved and the conduct and control of the work will lie solely with Lourdes. Lourdes is not to be considered an agent or employee of the City for any purposes and the employees of Lourdes are not entitled to any benefits that the City provides for City employees. It is understood that the City does not agree to use Lourdes exclusively. 8. Liabili Medical care to be performed at Lourdes Health Network will be performed entirely at Lourdes' risk and Lourdes assumes responsibility. 9. Duration The duration of this Agreement shall be for one (1) year from the date of this Agreement and shall automatically be renewed thereafter for one (1) year terms. However, either party may terminate this Agreement without cause by giving written notice to the other thirty (30) days before such termination shall take effect. 10. General Provisions For the purpose of this Agreement, time is of the essence. Should any dispute arise concerning the enforcement, breach or interpretation of this Agreement, venue shall be placed in Franklin County, Washington, the laws of the State of Washington shall apply, and the prevailing parties shall be entitled to its reasonable attorney fees and costs. 11. Entire Agreement This section completes the entire Agreement between the Parties and no statements, promises or inducements made by either party or agent or other party that is not contained in this written Agreement, shall be void or binding and this Agreement may not be enlarged, modified, or altered except in writing signed by the Parties and endorsed hereon. Medical Fee Agreement - City/Lourdes Page 2 of 3 IN WITNESS WHEREOF, the Parties have signed this Agreement on the date set forth above. STATE OF WASHINGTON ) ss County of Franklin OUR LADY OF ZES OSPITAL On this day personally appeared before me GARY CRUTCHFIELD, City Manager of the City of Pasco, to be known to be individual described in and who executed the within and foregoing instrument, and acknowledged that he signed the same as his free and voluntary act and deed for the uses and purposes therein mentioned. GIVEN under my hand and official seal this f U day of NOTARY PUB IC in and Residing at My Commission Expires _ STATE OF WASHINGTON ) ss County of Franklin 2007 X00 L. 1V\ of Washington y N07A9` P AUSLIG <OF0H 3,2 ooe �O2 I'I'A SHIN/ On this day personally appeared before me John Syr-le--, (2ED of Our Lady Lourdes Hospital, to be known to be individual described in and who executed the within and foregoing instrument, and acknowledged that he signed the same as his free and voluntary act and deed for the uses and purposes therein mentioned. GIVEN under my hand and officio} seal this Q8 day of FtJ n� ne 2007. 4 . r xs hdc'X Residing at My Commission Expires Medical Fee Agreement - City/Lourdes Page 3 of 3