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Home My WebLink AboutC84-011 Susan SaathoffAGREEMENT This a reement is entered this g _ r day of , 198 , between the Board of County Commissioners of th County of Eagle, State of Colorado, on behalf of Eagle County - Nursing Service, hereinafter called.the "Agency," .and Susan Saathof Speech Therapist, hereinafter called the "Therapist." - 1. Application. The parties acknowledge that the policies of the Agency provide for a community speech 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, Medicaid, other third party insurance carriers, or others approved by the Agency. 2. Services. The Therapist agrees to provide professional services, as a speech therapist, meeting the education and experience requirements for a certificate of clinical competence in the American Speech and Hearing 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 meek the - conditions of participation as follows:- Meeting the-. _ education and experience requirements fora certificate of clinical competence in the American Speech and Hearing Association. 4. Duties. The dbt-ies of the Therapist will _be provided by a qualified speech pathologist. 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 with 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 speech 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. K • a 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 i's given and' incorporated within the week, mailed to the Agency by the fifth day after each visit - 6. Supervision. The Therapist shall be su-pervised by - .and take direction from a certified speecn therapist designated by the Administrator of the Eagle County -Nursing - Service. - !%r <s r f 7. Fee. The gross service fee shall be $25 per of the Therapist's 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. 8. 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. 9. 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. 3 a a IN WITNESS WHEREOF, the parties have executed this agreement on the date first above written. COUNTY OF EAGLE, STATE OF COLORADO By and Through its ATTEST:BOARD OF COUNTY COMMISSIONERS By: By: J erk of the--Boar8 of W. Keitn Troxei, Chairman County Commissioners SPEECH THERAPISTT CCC4 4 TRANSMITTAL SLIP TO: FRC DAT RE: COMMENTS: