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HomeMy WebLinkAboutMINUTES - 09112012 - C.101RECOMMENDATION(S): Approve and authorize the Purchasing Agent, on behalf of the Health Services Department, to execute a Purchase Order with the Data Systems Group (DSG), in the amount not to exceed $150,000, for license support of the Electronic Claims and Remittance System Software, for the period from September 1, 2012 through August 31, 2013. FISCAL IMPACT: Total cost of $150,000 is budgeted in Enterprise Fund I. The Purchase Order will cover Software License fees of $127,000 and programming upgrades and related costs. BACKGROUND: Since 2001, the Contra Costa Health Services Department (CCHS) has used “The Data System Group (DSG) to license, install and support an automated Electronic Claims and Remittance System Software for the Patient Accounting Unit. The Patient Accounting Unit uses DSG to simplify claims processing and revenue cycle. DSG sends claims to Keane (Health Services Patient Accounting System) nightly. CCHS uses the following DSG modules to increase revenue and improve efficiencies: 1. Electronic Claims Processing: Billing Forms are represented exactly and submitted directly APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 09/11/2012 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, District I Supervisor Candace Andersen, District II Supervisor Mary N. Piepho, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor Contact: David Runt, 313-6228 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: September 11, 2012 David Twa, County Administrator and Clerk of the Board of Supervisors By: Carrie Del Bonta, Deputy cc: Tasha Scott, Demetria Gary C.101 To:Board of Supervisors From:William Walker, M.D., Health Services Date:September 11, 2012 Contra Costa County Subject:Purchase Order with the Data Systems Group BACKGROUND: (CONT'D) for faster turnaround of payments. 2. Remittance and Payment Processing: This is used to enable quick and accurate posting of payments and adjustment to the Patient Accounting system. 3. Real-time Transactions Eligibility: This module is used to check for eligibility before a claim is submitted to ensure that it will be paid the first time and expedites payment. 4. Claims Status: This module provides the ability to know if a claim is being processed and being paid without having staff manually reviewing each claim. 5. Financial Reporting: This module provides detailed reports, financial dashboard, and financial analysis tools. CONSEQUENCE OF NEGATIVE ACTION: If this Purchase Order is not approved, Health Services will not receive critical software updates. Staff will be required to manually review, update, append and change all DSG based billing (tens of thousands a month). Payments would be drastically affected. CHILDREN'S IMPACT STATEMENT: Not applicable.