Terms of Use

These terms are an agreement between Palana, Inc. (“Palana Health,” “we,” “us”) and the organization that subscribes to Cadence (“you,” “your agency”). By creating an account or using Cadence, you agree to them. If you are agreeing on behalf of an agency, you confirm you have authority to bind it.

Cadence is software for tracking home health visits through their billing lifecycle — logged, billed, paid — organized by payer and patient.

What Cadence is not: Cadence is not a clearinghouse and does not submit claims, generate invoices, or transmit anything to payers on your behalf. You remain responsible for submitting your own claims through your payers' systems, for the accuracy of what you submit, and for compliance with all payer rules and applicable law. Cadence does not provide billing, legal, tax, or clinical advice.

You are responsible for the users you invite and for activity under your account. Two-factor authentication is required on every account. Keep your credentials confidential and tell us promptly at support@palanahealth.com if you believe an account has been compromised. You are responsible for making sure each of your users has the right role and permissions.

Your agency's data — including patient records — remains yours. We claim no ownership of it. We process it to provide the service, and as directed by you.

Where you provide protected health information, we act as your business associate under HIPAA. A Business Associate Agreement governs that relationship and takes precedence over these terms to the extent the two conflict. You are responsible for having the legal basis to enter the information you put into Cadence.

You agree not to:

• Use Cadence to violate any law or payer requirement.
• Enter information you are not authorized to enter, or use it to submit claims you know to be inaccurate.
• Share accounts between people, or give access to anyone outside your agency without authorization.
• Attempt to breach security, access another agency's data, or probe or scan our systems.
• Reverse engineer, resell, or copy the service, or use it to build a competing product.

Cadence costs $495 per month for unlimited patients and unlimited users, billed monthly in advance and renewing automatically until cancelled. Payments are handled by our payment processor. If a payment fails, we will contact you and may suspend access until it is resolved.

Some agencies subscribe at a promotional rate for an introductory period. Where that applies, the rate and its duration are shown at signup, and the subscription moves to the standard rate automatically when the period ends.

We may change pricing with at least 30 days' notice to account owners before it takes effect for your subscription.

If Cadence is not right for your agency, contact us within 30 days of your first payment and we will refund it in full.

You can cancel at any time from your billing portal. Cancellation takes effect at the end of the period you have already paid for, and you keep access until then. We do not pro-rate partial months except under the money-back guarantee above.

After your subscription closes, we retain your agency's data for 30 days so you can reactivate or request a copy. After that period it is permanently deleted and cannot be recovered. Please request anything you need before then.

We work to keep Cadence available and will give notice of planned maintenance where we reasonably can, but we do not guarantee uninterrupted access. Support is provided by email during business hours. We may add, change, or remove features over time; we will not make material reductions to core functionality without notice to account owners.

Cadence, its software, design, and the Cadence and Palana Health names and logos belong to us. These terms grant you a limited, non-exclusive, non-transferable right to use the service during your subscription, and nothing more.

Except as expressly stated in these terms, Cadence is provided “as is.” To the fullest extent permitted by law, we disclaim all other warranties, express or implied, including merchantability, fitness for a particular purpose, and non-infringement. We do not warrant that using Cadence will result in claims being paid, paid in full, or paid on any particular schedule.

To the fullest extent permitted by law, neither party is liable for indirect, incidental, special, consequential, or punitive damages, or for lost profits or lost revenue. Our total liability arising out of or relating to these terms will not exceed the amount you paid us for the service in the twelve months before the event giving rise to the claim. Nothing here limits liability that cannot be limited by law.

You agree to indemnify and hold us harmless from claims arising out of your use of Cadence in breach of these terms, your submission of claims to payers, or your violation of law or third-party rights.

These terms are governed by the laws of the State of Ohio, without regard to its conflict of laws rules. Any dispute will be brought in the state or federal courts located in Ohio, and both parties consent to jurisdiction there.

We may update these terms as the product and the law change. We will update the date above and notify account owners of material changes. Continuing to use Cadence after changes take effect means you accept them.

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