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HomeMy WebLinkAboutC87-020 Eagle County Nursing Service for Mona Feige Home TherapyC87-20-22 AGREEMENT THIS AGREEMENT is entered this 11th day of november , 1986,-, by and between THE COUNTY OF EAGLE, STATE OF COLORADO, by and through its BOARD OF COUNTY COMMISSIONERS, on behalf of the EAGLE COUNTY NURSING SERVICE, hereinafter called the "Agency," and Home Therapy Inc. (Mona Feige) Physical Therapist, hereinafter called the "Therapist." 1. Application. The parties acknowledge that the policies of the Agency provide for a community physical therapy program. This agreement between the Therapist and the Agency is entered to apply only to those services of the Therapist to patients covered by Medicare, Medicaide, other third party insurance carriers, or others approved by the Agency. 2. Services. The Therapist agrees to provide professional services, as a physical therapist, meeting the education and experience requirements for a certificate of clinical competence in the American Physical Therapy Association. These services are to be provided within the geographical limits of Eagle County. The services provided by the Therapist shall be within the scope and limitations set forth in the attending physician's plan of treatment for the patient which has been established with the Agency, and may not be altered in type, scope, or duration by the Therapist. 3. Qualifications. The Therapist must meet the conditions of participation as follows: Meeting the education and experience requirements for a certificate of clinical competence in the American Physical. Therapy Association. 4. Duties. The duties of the Therapist will be provided by a qualified physical therapist. The Therapist must regularly participate with other health personnel of the Agency in staff meetings, policy formation, planning when and how a plan of treatment is to be carried out, scheduling of visits, discussions for the purposes of planning and evaluating patient care in individual cases, and the like. 5. Procedure After Acceptance. As stated, the physician's plan of treatment must be established by the Agency. In the event the physician's plan of treatment is given to the Therapist, the plan must be put into writing before the treatment is begun. The plan must relate the type, amount, frequency and duration of physical therapy services that are to be furnished to the patient and must indicate the diagnosis and anticipated goals. This written plan must be forwarded to the Agency by the Therapist within five (5) days after it is initiated to be incorporated into the agency's permanent record for the patient. The plan must be reviewed by the attending physician in consultation with the therapist as necessary, but at least every sixty (60) days. -2- The Therapist shall prepare meaningful progress notes and observations for each visit made to the patient. All progress notes are to be written the day service is given and incorporated within the week, mailed to the Agency by the fifty day after each visit. 6. Fee. The gross service fee shall be$30.00 per visit of the Therapist time. All billing for Agency patients will be carried out by the Agency. Therapist cannot bill the patient or the Federal Health Insurance Program. Payment for services rendered will be mailed to the Therapist on the first of the month following receipt by the Agency of all reports and forms as required in this contract. Payment will be withheld if reports and/or forms are not received as required. 7. Duration. This agreement shall be in effect for one (1) year from its date; provided, however, it may be terminated at any time by either party by giving thirty (30) days written notice of such intention to the other party. 8. Independent Contractor. The Therapist shall be an independent contractor for all purposes under this agreement, and shall not be considered an employee of the Agency for any purpose whatsoever. MM m IN WITNESS WHEREOF, the parties have executed this - agreement on the date first above written. EST: q�Q�ADO /Alerk of th oar County Commissioners COUNTY OF EAGLE, STATE OF COLORADO By and Through its BOARD OF COUNTY COMIKISSIONERS By Richard I,. uustafson,' Chairman v HOME THERAPY INC. PHYSICAL THERAPIST f Z_ EE43