HomeMy WebLinkAboutMINUTES - 02282012 - C.58RECOMMENDATION(S):
Approve and authorize the Purchasing Agent, on behalf of Health Services Department, to
execute a Purchase Order with OptumInsight, Inc., in the amount of $140,000, for the period
of February 1, 2012 through January 31, 2017, for Local Coverage Determination (LCD)
and Correct Coding Initiative (CCI) data files necessary for Patient Financial Services and
new Epic system operations with yearly updates.
FISCAL IMPACT:
100% Enterprise II Fund.
BACKGROUND:
Health Services Department, Patient Financial Services and new Epic system require
Advanced Beneficiary Notice (ABN) functionality. Centers for Medicare and Medicaid
Services (CMS) requires ABNs to be signed by patients requesting services that may not be
covered by CMS. If ABNs are not used, services may be performed that will not be
reimbursed by Medicare. By having LCD and CCI data files loaded, this will allow medical
necessity and coding error checking and prevent claim denials. Patient Financial Services’
billers and coders will be able to appropriately modify claims before they are sent to payor.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 02/28/2012 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
ABSENT:Gayle B. Uilkema, District II
Supervisor
Contact: Patricia Tanquary,
313-6004
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 28, 2012
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Carrie Del Bonta, Deputy
cc: Tasha Scott, Demetria Gary, Nicole Meyer
C.58
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:February 28, 2012
Contra
Costa
County
Subject:Purchase Order with OptumInsight, Inc.
CONSEQUENCE OF NEGATIVE ACTION:
If this Purchase Order is not approved, Health Services will not be able to install ABN
functionality and meet Epic system requirement. Patient services may be provided that will
not be reimbursed by CMS, and thus, would directly affect Health Services’ revenue.
CHILDREN'S IMPACT STATEMENT:
Not applicable.