HomeMy WebLinkAboutMINUTES - 02242009 - C.82RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Pat Godley) to execute
on behalf of the County, Contract Amendment Agreement #23-336-7 with Toyon
Associates, Inc., a corporation, effective January 1, 2009, to amend Contract #23-336-6, to
increase the payment limit by $40,000, from $750,000 to a new payment limit of $790,000
and to extend the term from June 30, 2009 through June 30, 2011.
FISCAL IMPACT:
This Contract is included in the Health Services Department's Enterprise Fund I Budget.
This Contract is a contingent fee contract. Contractor will be paid a commission based on
Medicare recoveries.
BACKGROUND:
On August 5, 2008, the Board of Supervisors approved Contract #23-336-6 with Toyon
Associates, Inc., for the period from through July 1, 2008 and June 30, 2009, for the
provision of consultation and technical assistance with regard to conducting reviews of the
Medicare ratios to assess the maximum disproportionate share calculation to which Contra
Costa Regional Medical
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 02/24/2009 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Susan A. Bonilla, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patrick Godley,
957-5405
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: February 24, 2009
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: Celicia Nelson, Deputy
cc: Tasha Scott, Barbara Borbon
C.82
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:February 24, 2009
Contra
Costa
County
Subject:Contract Amendment Agreement #23-336-7 with Toyon Associates, Inc.
BACKGROUND: (CONT'D)
Center is entitled.
This contract covers services to be provided for several different cost report years up to and
including Fiscal Year 2006-2007. The Contractor will review and pursue as appropriate
additional reimbursement for each fiscal year individually. The appeals being put forward
are by the very nature, extremely aggressive in seeking the maximum amount of additional
reimbursement possible on behalf of Contra Costa Regional Medical Center. In all
likelihood, the actual amount of the recoveries will be significantly less than the amounts
claimed. This contract payment limit is an estimate of the amount of commission that the
Contractor could earn if they were to prevail at the full aggressive filing levels.
Approval of Contract Amendment Agreement #23-336-7 will allow the Contractor to
provide additional consultation and technical assistance with regard to Medicare Prospective
Payment System appeals, through June 30, 2011.