1. Acceptance of Terms
By accessing the Karepoint Billing Service LLP client portal or by executing a Service Agreement with Karepoint Billing Service LLP ("Karepoint"), you ("Client" or "Facility") acknowledge that you have read, understood, and agree to be bound by these Terms and Conditions and our Business Associate Agreement (BAA).
2. Services
Karepoint provides healthcare revenue cycle management (RCM) services to behavioral health and substance use disorder (SUD) treatment facilities, including Verification of Benefits (VOB), Prior Authorization (PA), Utilization Review (UR), and Denial Management. Service levels: Standard VOB within 4 business hours; Urgent VOB within 2 business hours; PA submission within 1 business day of receiving complete documentation.
3. HIPAA Compliance
Both parties agree to comply with HIPAA, HITECH, and all implementing regulations. A Business Associate Agreement (BAA) must be executed prior to any exchange of Protected Health Information (PHI). Client is solely responsible for obtaining all patient consents required by HIPAA and applicable state law.
4. 42 CFR Part 2 — Substance Use Disorder Records
CRITICAL: Records relating to patients receiving SUD treatment are subject to 42 CFR Part 2, which imposes confidentiality requirements stricter than HIPAA. Client must obtain valid written patient consent under 42 CFR §2.31 before transmitting any SUD Records to Karepoint. Client warrants that all SUD Records transmitted are accompanied by valid patient consent. Unauthorized disclosure of SUD Records is a federal crime.
5. Fees and Payment
A one-time setup fee of USD $700 is due upon execution of the Service Agreement. Monthly service fees are set forth in the Service Agreement. Invoices are due within 15 days. Overdue amounts accrue interest at 1.5% per month. Karepoint reserves the right to suspend services for accounts more than 30 days past due.
6. User Accounts and Security
Multi-factor authentication (MFA) is mandatory for all primary account holders. Client is responsible for all activities under its account. Client must immediately notify Karepoint of any unauthorized access at [email protected].
7. Term and Termination
Either party may terminate with 60 days written notice. Termination for cause with 30 days notice if material breach is not cured. Upon termination, all PHI must be returned or destroyed within 30 days per BAA requirements.
8. Limitation of Liability
Karepoint's total liability shall not exceed fees paid in the preceding 12 months. Neither party shall be liable for indirect, consequential, or punitive damages. Nothing limits liability for HIPAA violations due to willful neglect, 42 CFR Part 2 violations, or fraud.
9. Confidentiality
Each party agrees to keep confidential all non-public information of the other party, using at least the same degree of care as it uses to protect its own confidential information, but no less than reasonable care.
10. Governing Law
These Terms are governed by applicable US federal law with respect to HIPAA compliance. Disputes shall be resolved per the Service Agreement. Either party may seek injunctive relief in any court of competent jurisdiction.
11. Entire Agreement
These Terms, together with the Service Agreement and BAA, constitute the entire agreement between the parties. Karepoint reserves the right to modify these Terms with 30 days notice. Continued use constitutes acceptance.
Version 1.0 · Effective August 2026 · Karepoint Billing Service LLP · Full document available at mykarepoint.com · Questions: [email protected]