Terms & Conditions
This agreement governs the relationship between Revenue RCM LLC and all clients, users, and healthcare providers who access or use the RevenuePro revenue cycle management platform. It protects your business, your intellectual property, and establishes the legal responsibilities binding all parties under federal and state healthcare law.
A Montana-based healthcare technology company you can build on
Revenue RCM LLC delivers cloud-based revenue cycle management solutions to licensed medical and dental providers nationwide. All clients must adhere to applicable federal and state healthcare regulations as a condition of using the RevenuePro platform.
Contact Information
Regulatory Frameworks Governing This Agreement
- HIPAA & HITECHPatient data privacy & electronic records
- OIG, HHS & CMSBilling integrity & Medicare/Medicaid guidelines
- ADA & AMAAccessibility & ethical medical billing standards
- FCAFalse Claims Act (31 U.S.C. §§ 3729–3733)
- 18 U.S.C. § 1347Federal health care fraud statutes
This Terms & Conditions agreement is a legally binding document. Healthcare providers, practice administrators, and compliance officers should review each section carefully before executing any service agreement with Revenue RCM LLC.
General Terms, Acceptance & Definitions
The foundational terms establish the legal basis for your relationship with Revenue RCM LLC — who may use RevenuePro, how the agreement is accepted and modified, and the framework under which every subsequent term is interpreted. Every user is bound from the moment they access or activate the platform.
Acceptance of Terms of Service
By accessing or using RevenuePro, the client enters a legally binding agreement with Revenue RCM LLC. Continued use constitutes ongoing acceptance of all terms as currently published, superseding all prior oral or written representations.
Key Legal & RCM Terms
Capitalized terms carry specific meanings — including Protected Health Information (PHI), Business Associate, Covered Entity, Claim, Payer, and Revenue Cycle. Consult the full definitions glossary before executing this agreement.
Scope of RCM Services
Services include claim submission, denial management, payment posting, and reporting analytics. Excluded items — legal advice, clinical decision support, or direct patient billing disputes — remain the sole responsibility of the client practice.
Modifications to Terms
Revenue RCM LLC may modify these Terms at any time. Clients receive advance notice via email no less than 30 days before material changes take effect. Continued use after the effective date constitutes acceptance.
Eligibility to Use RevenuePro
Available exclusively to licensed healthcare providers, credentialed medical billing professionals, and authorized staff aged 18 or older — who must not appear on any OIG or CMS exclusion list during the term of service.
Electronic Communications & Consent
Clients consent to receive communications electronically in compliance with the E-Sign Act. Digital signatures are legally valid and binding.
Client Representations & Warranties
Clients warrant they hold valid medical licenses, are authorized to enter this agreement, and that all submitted billing data is accurate and lawful.
Relationship of the Parties
Revenue RCM LLC operates as an independent contractor. Nothing herein creates an employment, agency, joint venture, or partnership relationship.
Severability Clause
If any provision is held unenforceable, the remaining provisions continue in full force and effect without modification.
Entire Agreement Clause
This agreement, together with any executed BAA and Order Form, constitutes the entire understanding between the parties and supersedes all prior negotiations, representations, and agreements.
Software Licensing & Acceptable Use
These provisions govern how RevenuePro may be accessed, used, integrated, and protected. Revenue RCM LLC grants a limited, non-exclusive, non-transferable license — strictly in accordance with this agreement. Misuse or unauthorized access may result in immediate suspension and legal action.
Grant of Software License
A non-exclusive, non-sublicensable SaaS license to access RevenuePro for internal revenue cycle operations. No ownership interest in the software, code, algorithms, or IP is conveyed.
Protection of Intellectual Property
All code, UI designs, workflows, branding, trademarks, and proprietary methodologies remain the exclusive property of Revenue RCM LLC. Unauthorized reproduction or derivative works are strictly prohibited.
Prohibited Uses of RevenuePro
No unlawful purposes, data scraping, competitive intelligence gathering, or activity that disrupts platform integrity. Malware, unauthorized access, and fraudulent claims are expressly forbidden.
Account Registration & Security
Each user registers with accurate credentials and must safeguard login confidentiality. Suspected unauthorized access must be reported immediately. Password sharing is strictly prohibited.
Software Updates & Maintenance
Revenue RCM LLC may perform scheduled maintenance, updates, and upgrades at its discretion, with advance notice of planned downtime. It is not liable for revenue impact from good-faith maintenance windows.
Third-Party Integrations & API Use
API access is granted solely for approved integrations including EHR connectivity. API keys must be safeguarded and never shared. Access may be revoked for security, compliance, or operational risk.
Client Hardware & Network Requirements
Clients maintain compatible hardware, supported browsers, and adequate connectivity. Performance is not warranted on unsupported configurations or networks below recommended bandwidth.
Suspension for Policy Violations
Accounts may be suspended immediately upon verified breach of acceptable use — with or without prior notice. Written notice of suspension is provided via registered email within 24 hours.
Data Ownership & IP Rights
Clients retain ownership of all individually identifiable patient data. Revenue RCM LLC may use de-identified, aggregated data for platform improvement, subject to all HIPAA privacy standards.
Reverse Engineering Prohibition
Clients may not decompile, disassemble, reverse engineer, or derive source code by any means. Violations constitute IP infringement and may result in civil and criminal liability.
Financial Terms, Billing & Subscriptions
All financial terms governing the RevenuePro subscription — fee structures, billing cycles, dispute processes, cancellation rights, and post-termination data handling. Review these with your accounting and legal counsel before execution.
Onboarding & Setup
Non-refundable setup fee
Subscription Billing
Monthly or annual cycle
Commission Fees
% of collected revenue
Dispute Window
30 days from invoice
Cancellation
30-day written notice
Data Export
60-day export period
Subscription & Fees · Topics 21–22
Billed monthly or annually per the executed Order Form. Annual subscribers receive preferred pricing, billed in advance for the full term. Mid-cycle scope changes may prorate to the day of change.
Where active billing and collections services are provided, fees may be a percentage of collected revenue. Rates are set in your Service Agreement and are not negotiable post-execution without written amendment.
Payments, Taxes & Disputes · Topics 23–25
Invoices unpaid within 30 days accrue 1.5% monthly interest or the maximum permitted by Montana law, whichever is lesser. Persistent non-payment may suspend service.
Clients are responsible for applicable sales, use, and regulatory fees, except where Revenue RCM LLC must collect and remit. SaaS may be subject to state-specific tax treatment.
Submit written dispute claims within 30 days of the invoice date. Late disputes are not honored. Revenue RCM LLC responds within 15 business days.
Upgrading & Downgrading
Upgrades are effective immediately; downgrades take effect at the next billing cycle. Proration applies to upgrades only.
Cancellation by Client
Provide 30-day written notice to cancel. Cancellation during an annual term does not entitle a pro-rata refund of prepaid fees.
Termination by Revenue RCM
May terminate for material breach, non-payment, regulatory violation, or at-will with 30-day notice. Termination for cause is effective immediately on written notice.
Data Export on Termination
Clients have 60 days to export all practice data and PHI. After this period, data may be permanently deleted per the retention policy.
Refund Policies & Guarantees
Setup and onboarding fees are non-refundable. Monthly subscription fees are non-refundable once a billing cycle commences. Charges disputed and resolved in the client’s favor are applied as a credit to the next invoice.
Compliance, Legal Obligations & Data Handling
The most operationally critical provisions. Providers carry independent legal obligations under HIPAA, HITECH, OIG, CMS, ADA, AMA, and federal fraud statutes that are not diminished or transferred by using RevenuePro. Revenue RCM LLC functions as a Business Associate and requires a mandatory BAA before any PHI is transmitted.
Mandatory BAA Execution
No PHI may be processed until a fully executed Business Associate Agreement is on file. The BAA is a prerequisite for activation and must be renewed on material changes to the relationship or HIPAA regulations.
Accurate Medical Coding (FCA)
Clients bear sole responsibility for code accuracy. Upcoding, unbundling, and billing for services not rendered violate the False Claims Act (31 U.S.C. §§ 3729–3733) and may carry civil and criminal penalties.
Client HIPAA & HITECH Adherence
As Covered Entities, clients independently fulfill all HIPAA Privacy, Security, and Breach Notification Rule obligations. HITECH-enhanced penalties apply to willful neglect.
OIG, HHS & CMS Compliance
Verify billing and coding conform to CMS coverage policies and LCD/NCD requirements. Periodically check the OIG LEIE for all rendering and billing providers.
ADA Compliance in Operations
Clients warrant their operations comply with the Americans with Disabilities Act — including facility accessibility, patient communications, and billing processes, to the extent required by law.
AMA Ethical Standards
Clients acknowledge AMA ethical guidelines on billing integrity — prohibiting fraudulent documentation, improper financial relationships, and practices that compromise patient or payer trust.
Breach Notification Responsibilities
On a PHI breach, Revenue RCM LLC notifies the client within HIPAA’s required timeframe. Clients remain responsible for patient notifications and HHS reporting. Both parties cooperate fully in investigation and remediation.
Subpoenas & Legal Data Requests
On a valid subpoena, court order, or law enforcement request, Revenue RCM LLC promptly notifies the client where permitted and protects PHI during any legal hold. Clients retain their own legal counsel.
Prevention of Fraud, Waste & Abuse
A zero-tolerance policy applies. Clients cooperate with any FWA investigation. Use of RevenuePro to facilitate conduct under 18 U.S.C. § 1347 or the Anti-Kickback Statute results in immediate termination and referral to authorities.
CMS Audits & Client Cooperation
During a payer or CMS audit, clients provide all requested documentation. Revenue RCM LLC provides reasonable reporting and claims data assistance, provided the client is not in breach and fees are current.
Disclaimers, Liability & Dispute Resolution
The final category allocates legal risk between Revenue RCM LLC and its clients. These provisions are standard in SaaS and healthcare technology agreements, drafted to meet Montana state law and applicable federal statutes. Have qualified legal counsel review this section in its entirety.
“As-Is” Software Disclaimer
RevenuePro is provided “as-is” and “as-available.” All warranties — express or implied, including merchantability, fitness, and non-infringement — are disclaimed. Error-free, uninterrupted operation is not warranted.
Limitation of Liability
To the maximum extent permitted, total cumulative liability shall not exceed the fees paid in the three months preceding the claim. No liability for indirect, incidental, punitive, or consequential damages.
Client Indemnification
Clients indemnify and hold harmless Revenue RCM LLC against claims arising from breach, negligence or willful misconduct, legal violations, or inaccurate billing data and improper coding.
Indemnification by Revenue RCM
Revenue RCM LLC defends clients against third-party claims that RevenuePro as delivered infringes a valid U.S. patent, copyright, or trademark — excluding client modifications or unauthorized use.
Force Majeure
Neither party is liable for delays from circumstances beyond reasonable control — natural disasters, government acts, third-party cyberattacks, telecom failures, or global health emergencies. Prompt written notice is required.
Governing Law & Jurisdiction
Governed by Montana law without regard to conflict-of-law principles. Proceedings fall under the exclusive jurisdiction of courts in Flathead County, Montana, unless arbitrated.
Binding Arbitration
Disputes are resolved by binding arbitration under American Arbitration Association rules, held in Kalispell, Montana, or by remote hearing. The arbitrator’s decision is final and enforceable.
Class Action Waiver
Both parties waive any right to class action or class-wide arbitration. All disputes proceed on an individual basis. This material term survives termination.
Statute of Limitations
Any claim must be filed within one year after it arose, regardless of any contrary statute. Claims not brought in this period are permanently barred — applying equally to both parties.
Contact for Legal Notices
Direct all legal notices in writing to Revenue RCM LLC, 1001 S. Main St., STE [Suite], Kalispell, MT 59901, or via email to info@revenuercm.com. Notices are deemed received upon confirmed delivery or within 3 business days of certified mailing.
The five frameworks that govern your responsibilities
Understanding your obligations under each framework is essential to maintaining good standing with Revenue RCM LLC and avoiding regulatory penalties.
Client obligations: Execute a BAA, safeguard PHI, report breaches within required timeframes, and maintain Security Rule compliance.
Client obligations: Accurate coding only — no upcoding, no phantom billing — under a zero-tolerance fraud standard.
Client obligations: Check LEIE exclusion lists, follow LCD/NCD policies, and cooperate fully with CMS audits.
Client obligations: Accessible, ethical patient billing and honest, accurate documentation.
Client obligations: No conduct constituting health care fraud; full cooperation with any internal or governmental investigation.
Governing jurisdiction: Binding arbitration in Kalispell; Flathead County courts for any non-arbitrated proceeding.
Failure to comply with any of the five regulatory frameworks may result in immediate service termination, referral to federal or state regulatory authorities, and independent civil or criminal liability — wholly separate from any obligations or penalties incurred under this agreement.
Client Obligations Summary
- Execute a BAA before any PHI is transmitted through RevenuePro
- Ensure all medical codes submitted are accurate and medically necessary
- Verify providers are not listed on the OIG LEIE prior to billing
- Maintain independently compliant HIPAA Privacy and Security programs
- Report any suspected breaches to Revenue RCM LLC within 24 hours of discovery
- Cooperate fully with CMS, payer, and internal compliance audits
- Protect all RevenuePro login credentials and prohibit password sharing
- Maintain ADA-compliant patient communication and billing practices
Revenue RCM LLC Commitments
- Operate as a HIPAA-compliant Business Associate per the executed BAA
- Provide breach notification within HIPAA-required timeframes
- Protect all client and patient data using industry-standard security controls
- Indemnify clients against valid third-party IP infringement claims
- Provide advance notice of material changes to these Terms & Conditions
- Deliver audit-support documentation upon client request
- Maintain transparent, itemized billing with a formal dispute process
- Offer a 60-day data export window upon service termination
All 50 provisions, in one navigable reference
Use this index to quickly locate specific provisions relevant to your compliance, legal, or operational review needs. Type to filter by topic or keyword.
| # | Topic | Primary keywords |
|---|---|---|
| 1 | Acceptance of Terms of Service | Legally binding agreement, RevenuePro usage terms, user agreement |
| 2 | Definitions of Key Legal & RCM Terms | Legal definitions, RCM glossary, PHI, Business Associate |
| 3 | Scope of RCM Services | Medical billing services, service limits, what RevenuePro does |
| 4 | Modifications to Terms and Conditions | Updating terms, T&C changes, legal policy updates |
| 5 | Eligibility to Use RevenuePro | User eligibility, licensed providers only, registration requirements |
| 6 | Electronic Communications & Consent | E-Sign Act, electronic consent, digital signature |
| 7 | Client Representations & Warranties | Medical practice representation, valid license, authorized user |
| 8 | Relationship of the Parties | Independent contractor, B2B healthcare contract |
| 9 | Severability Clause | Enforceability of terms, legal contract clauses |
| 10 | Entire Agreement Clause | Merger clause, superseding prior agreements |
| 11 | Grant of Software License | SaaS license, non-exclusive license, healthcare software usage |
| 12 | Protection of Intellectual Property | Software copyright, RevenuePro trademarks, IP protection |
| 13 | Prohibited Uses of RevenuePro | Acceptable use policy, data scraping, malicious activity |
| 14 | Account Registration & Security | Credential security, secure login, password sharing prohibition |
| 15 | Software Updates & Maintenance | Scheduled maintenance, system downtime, version upgrades |
| 16 | Third-Party Integrations & API Use | API terms, EHR integration, API key security |
| 17 | Client Hardware & Network Requirements | System requirements, compatible hardware, IT responsibilities |
| 18 | Suspension for Policy Violations | Service suspension, account termination, breach of terms |
| 19 | Data Ownership & IP Rights | Client data ownership, patient data, aggregate data usage |
| 20 | Reverse Engineering Prohibition | Anti-reverse engineering, source code protection |
| 21 | Subscription Fees & Payment Schedules | SaaS billing, subscription fees, pricing structure |
| 22 | Commission & Contingency Fee Structures | Percentage-based fees, collections commission, contingency pricing |
| 23 | Late Payments & Interest Charges | Late payment penalties, overdue invoice interest, account holds |
| 24 | Taxes & Regulatory Fees | SaaS tax liabilities, sales tax on software, billing fees |
| 25 | Billing Dispute Resolution Process | Disputing an invoice, billing error reporting, financial disputes |
| 26 | Upgrading & Downgrading Tiers | Software tier changes, proration of fees, scaling RCM services |
| 27 | Cancellation & Termination by Client | How to cancel, termination notice, end of service process |
| 28 | Termination Rights by Revenue RCM LLC | Provider termination rights, right to refuse, offboarding |
| 29 | Data Export Procedures Upon Termination | Data extraction, exporting PHI, transition of care data |
| 30 | Refund Policies & Guarantees | SaaS refund policy, non-refundable setup fees, RCM refunds |
| 31 | Mandatory BAA Execution | HIPAA BAA requirement, prerequisite for service, PHI handling |
| 32 | Accurate Medical Coding (FCA Compliance) | FCA compliance, upcoding prohibition, coding responsibility |
| 33 | Client HIPAA & HITECH Adherence | Covered entity responsibilities, HITECH adherence |
| 34 | OIG, HHS & CMS Compliance | Medicare billing rules, CMS compliance, OIG exclusion checks |
| 35 | ADA Compliance in Client Operations | ADA healthcare guidelines, accessibility responsibilities |
| 36 | AMA Ethical Standards Acknowledgment | AMA billing ethics, medical billing integrity, ethical conduct |
| 37 | Breach Notification Responsibilities | Breach reporting, data leak procedures, notification timeline |
| 38 | Subpoenas & Legal Data Requests | Responding to subpoenas, legal hold, law enforcement requests |
| 39 | Prevention of Medical Fraud, Waste & Abuse | FWA prevention, 18 U.S.C. 1347, zero tolerance fraud |
| 40 | CMS Audits & Client Cooperation | CMS audit cooperation, audit documentation, payer audit defense |
| 41 | “As-Is” Software Disclaimer | As-is warranty disclaimer, no uptime guarantee, SaaS disclaimers |
| 42 | Limitation of Liability | Liability cap, indirect damages exclusion, risk allocation |
| 43 | Indemnification by the Client | Client indemnification, hold harmless, protecting Revenue RCM |
| 44 | Indemnification by Revenue RCM LLC | IP infringement defense, software provider indemnification |
| 45 | Force Majeure | Act of God, natural disaster, unforeseen service disruption |
| 46 | Governing Law & Jurisdiction (Montana) | Montana governing law, Kalispell MT jurisdiction, legal venue |
| 47 | Dispute Resolution & Binding Arbitration | Binding arbitration, out-of-court settlement, AAA |
| 48 | Class Action Waiver | Class action waiver, individual arbitration only |
| 49 | Statute of Limitations for Filing Claims | Time limit to file, legal claim window, contractual limitations |
| 50 | Contact Information for Legal Notices | Legal notice address, official communication channels, Kalispell |
Ready when you are
By activating a RevenuePro account, executing an Order Form, or submitting any data through the platform, the client acknowledges they have read, understood, and agreed to all 50 Terms & Conditions. Together with the executed BAA and any Order Form, this constitutes the entire and binding agreement.
Before You Sign
- Review all 50 Terms & Conditions with qualified legal counsel
- Confirm your practice holds a valid medical license in your operating jurisdiction
- Ensure your designated BAA signatory has authority to bind the practice
- Verify no rendering or billing providers appear on the OIG LEIE
Required Documents
- Signed Terms & Conditions Agreement (this document)
- Executed Business Associate Agreement (BAA) — mandatory
- Completed RevenuePro Order Form specifying tier and fee structure
- Authorized User Registration for all staff accessing the platform
Contact Revenue RCM LLC
Legal Notices & Formal CorrespondenceQuestions about these Terms & Conditions? Our compliance team helps healthcare providers and legal officers understand their obligations before agreement execution. Reach us at info@revenuercm.com or (971) 717-3335.