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Home My WebLink AboutMINUTES - 09112001 - C.149 TO: It BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director ''j "' By: Ginger Marieiro, Contracts AdministratorM. ',VM Contra .A Costa DATE: August 15, 2001 c�ST�'c6iN �~ County I SUBJECT: Approval of Amendment #26-343-8 (Modification #1/#V261S-0424) with the U. S. Department of Veterans Affairs SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Frank Puglisi, Jr. ) , to execute on behalf of the County, Amendment #26-343-8 (Modification #1/#V261S-0424) with the U. S . Department of Veterans Affairs Northern California Health Care System (VANCHCS) , effective July 1, 2001, to amend Sharing Agreement #26-343-7, to make technical adjustments . FINANCIAL IMPACT: None, no change in the original term of the agreement and no change in the original payment limit of $194 , 705 . The Agreement is funded in the Health Services Department ' s Enterprise I Budget . Under the term of the agreement, VANCHCS is paid a fee for service in accordance with the attached fee schedule which is incorporated in the Contract . The services provided for the County' s patients under this Contract are billable to patients and third party payors . REASONS FOR RECOMMENDATIONS/BACKGROUND: On May 16 , 2000, the Board of Supervisors approved Sharing Agreement 26-343-7 #V261S-0424) with the VANCHCS, for the period from January 1, 2000 through September 30, 2002, to provide specialized ophthalmology medical services to County' s patients referred for treatment by Contra Costa Regional Medical Center physicians . Approval of this Amendment #26-343-8 (Modification #1/#V261S-0424) , will allow County and Contractor to make technical adjustments to the Sharing Agreement for Ophthalmology services, allowing Contractor to continue providing services through September 30, 2002 . The Contract documents have always been prepared by the Veterans Administration. CONTINUED ON ATTACHMENT: YES SIGNATURE �/RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME TION OF BOARD COMMITTEE _&/APPROVE _OTHER SIGNATURE(S): ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS \1 -/�/� I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT V WYM) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED ."l;114 /' J V v JOHN SWEET N,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Frank Puglisi (370-5100) CC: Health Services Dept. (Contracts) Auditor-Controller Risk Management BY / �I JFK/ DEPUTY Contractor Page 2 of 3 SECTION III- FEE SCHEDULE #26-343-8 II. OPTION 1: October 1,2000 through September 30,2001 Cost per Description CPT Codes Est.Quantity procedure Total Cost A. EXAMINATIONS AND TREATMENT PROVIDED BY VANCHCS STAFF Evaluation &Management: 1 New, problem focused 99201 2 $45.00 $90.00 2 New, exp. problem focused 99202 2 $70.00 $140.00 3 New,detailed 99203 2 $95.00 $190.00 4 New, moderate comp. 99204 2 $142.00 $284.00 5 New, high comprehensive 99205 1 $177.00 $177.00 6 Established,detailed 99211 2 $28.00 $56.00 7 Estab.,expanded problem focused 99212 2 $42.00 $84.00 . 8 Estab., detailed 99213 2 $56.00 $112.00 9 Estab., moderate comprehensive 99214 2 $83.00 $166.00 10 Estab., high comprehensive 99215 1 $127.00 $127.00 11 Consult, problem focused 99241 2 $73.00 $146.00 12 Consult, exp. problem focused 99242 2 $114.00 $228.00 13 Consult,detailed 99243 2 $148.00 $296.00 14 Consult, moderate comprehensive 99244 2 $208.00 $416.00 15 Consult, high comp. 99245 1 $280.00 $280.00 Photography 16 Fluorescein angiography 92235 5 $182.00 $910.00 17 Fundus photography 92250 5 $69.00 $345.00 18 External or slit lamp photography 92285 1 $57.00 $57.00 Misc Procedures: 19 Ultrasound A-scan with IOL calc. 76519 10 $162.00 $1,620.00 20 Visual Field Intermed.-Goldman 92082 5 $114.00 $570.00 21 Visual Field-Extended Humphries 92083 5 $114.00 $570.00 22 Unlisted Proc(includes Keratometry, Color Vision Testing) 92249 5 $37.00 $185.00 23 Medical Media Slide Production/Slide(with disk) N/A 5 $8.00 $40.00 B. USE OF EQUIPMENT AND SPACE BY CCRMC PHYSICIANS Lasers/Croypexy: 24 Argon laser Trabeculoplasty 65855 10 $498.00 $4,980.00 25 Cyclophotocoag. ciliary body 66710 1 $498.00 $498.00 26 Ciliary body cryotherapy 66720 1 $498.00 $498.00 27 Laser Iridotomy/Iridectomy 66761 8 $498.00 $3,984.00 28 YAG Laser Capsulotomy 66821 10 $498.00 $4,980.00 29 Laser Suture Lysis 66999 10 $498.00 $4,980.00 30 Prophylaxis of retinal detach, cryoprexy and laser 67141 1 $498.00 $498.00 31 Retinal cryopexy of localized lesion 67208 1 $498.00 $498.00 32 Focal laser 67210 30 $498.00 $14,940.00 33 Retinal cryopexy of ext retinopathy 67227 1 $498.00 $498.00 34 Pan retinal photocoagulation 67228 25 $498.00 $12,450.00 35 Unlist. Proc. posterior segment 67299 1 $498.00 $498.00 Miscellaneous Procedures: 36 Retrobulbar Injection 67500 10 $49800 $4,980.00 37 Unlisted proc. anterior segment 66999 2 $498.00 $996.00 38 Ultrasound B-Scan only 76512 5 $498.00 $2,490.00 39 OR Time(per 15 minutes) N/A N/A $387.00 Option 1 -Estimated Total $64,857.00 Page 3 of 3 #26-343-8 :tw SECTION III-FEE SCHEDUI.,E III. OPTION 2: October 1, 2001 through September 30, 2002 Cost per g Description CPT Codes Est.Quantity procedure Total Cost A. EXAMINATIONS AND TREATMENT PROVIDED BY VANCHCS STAFF Evaluation &Management: 1 New,problem focused 99201 2 $47.00 $94.00 2 New,exp. problem focused 99202 2 $74.00 $148.00 3 New, detailed 99203 2 $100.00 $200.00 4 New, moderate comp. 99204 2 $149.00 $298.00 5 New, high comprehensive 99205 1 $186.00 $186.00 6 Established,detailed 99211 2 $29.00 $58.00 7 Estab., expanded problem focused 99212 2 $44.00 $88.00 8 Estab., detailed 99213 2 $59.00 $118.00 9 Estab., moderate comprehensive 99214 2 $87.00 $174.00 10 Estab., high comprehensive 99215 1 $133.00 $133.00 11 Consult, problem focused 99241 2 $77.00 $154.00 12 Consult, exp. problem focused 99242 2 $120.00 $240.00 13 Consult, detailed 99243 2 $155.00 $310.00 14 Consult,moderate comprehensive 99244 2 $218.00 $436.00 15 Consult, high comp. 99245 1 $294.00 $294.00 Photography 16 Fluorescein angiography 92235 5 $191.00 $955.00 17 Fundus photography 92250 5 1 $72.00 $360.00 18 External or slit lamp photography 92285 1 $60.00 $60.00 Misc Procedures: 19 Ultrasound A-scan with IOL calc. 76519 10 $170.00 $1,700.00 20 Visual Field Intermed.-Goldman 92082 5 $120.00 $600.00 21 Visual Field-Extended Humphries 92083 5 $120.00 $600.00 22 Unlisted Proc(includes Keratometry,Color Vision Testing) 92249 5 $39.00 $195.00 23 Medical Media Slide Production/Slide (with disk) N/A 5 $8.00 $40.00 B. USE OF EQUIPMENT AND SPACE BY CCRMC PHYSICIANS Lasers/Croypexy: 24 Argon laser Trabeculoplasty 65855 10 $523.00 $5,230.00 25 Cyclophotocoag. ciliary body 66710 1 $523.00 $523.00 26 Ciliary body cryotherapy 66720 1 $523.00 $523.00 27 Laser Iridotomy/Iridectomy 66761 8 $523.00 $4,184.00 28 YAG Laser Capsulotomy 66821 10 $523.00 $5,230.00 29 Laser Suture Lysis 66999 10 $523.00 $5,230.00 30 Prophylaxis of retinal detach, cryoprexy and laser 67141 1 $523.00 $523.00 31 Retinal cryopexy of localized lesion 67208 1 $523.00 $523.00 32 Focal laser 67210 30 $523.00 $15,690.00 33 Retinal cryopexy of ext retinopathy 67227 1 $523.00 $523.00 34 Pan retinal photocoagulation 67228 25 $523.00 $13,075.00 35 Unlist. Proc. posterior segment 67299 1 $523.00 $523.00 Miscellaneous Procedures: 36 Retrobulbar Injection 67500 10 $523.00 $5,230.00 37 Unlisted proc. anterior segment 66999 2 $523.00 $1,046.00 38 Ultrasound B-Scan only 76512 5 $523.00 $2,615.00 39 OR Time(per 15 minutes) N/A N/A $387.00 Option 2-Estimated Total $68,109.00