HomeMy WebLinkAboutMINUTES - 12151987 - 1.66 To: • .BOARD OF SUPERVISORS L �,.��..,
FROM: Mark Finucane , Health Services Director
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By : Elizabeth A. Spooner , Contracts Administrator Costa
DATE: December 3, 1987 Cbj I`!
SUBJECT: Approval of Standard Contract #23-098 with
Health Management Systems , Inc .
SPECIFIC REQUEST(S) OR RECOMMENDATIONS) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Health Services Director to execute on
behalf of the County, Standard Contract 1123-098 with Health
Management Systems , Inc. for the period December 1 , 1987 -
November 30 , 1989 for the provision of third-party resource
identification and recovery services for County' s Health
Services Department .
II . FINANCIAL IMPACT :
This Contractor will be paid on a commission (25%) basis only
for amounts collected on inpatient and outpatient claims , and
the Department anticipates recovery of significants third party
revenue .
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
Health Management Systems , Inc . (HMS) is a New York-based firm
which specializes in identification of third-party resources on
patient accounts for which client agencies have given up all
collection efforts . The firm provides both billing services and
advice on collections and is reimbursed by its clients strictly
on the basis of the success of its efforts . HMS is currently
under contract for this type of service with the County of Los
Angeles Departments of Health Services and Mental Health , County
of San Francisco Department of Public Health, Santa Clara County
Department of Mental Health , and with a number of other large
public hospital and mental health systems ( including the New
York City Health and Hospitals Corporation and twelve other
municipal health systems across the United States) . Based on
results achieved by HMS for these California County agencies ,
the Department is requesting the Board ' s approval of
Contract #23-098 for third party identification and recovery
services for the Contra Costa County Health Services Department .
CONTINUED ON ATTACHMENT; X_ YES 9IGNATURE'
RECOMMENDATION OF COUNTY ADMINISTRATOR _ RECOMMEND 1 N OF BOARD COMMITTEE
APrROVE OTHER
SIGNATURE f S):
ACTION OF BOARD ON _`._DEC t 5 1987 APPROVED A9 RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT �� ) 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.
JRIG: Health Services (Contracts) DEC 1 5 198.1
CC: County Administrator ATTESTED
Auditor-Controller PHIL BATCHELOR. CLERK OF THE BOARD OF
Contractor SUPERVISORS AND COUNTY ADMINISTRATOR
'42,143 BY `��[IAA ��(�1./� ,DEPUTY
Health Management Systems , Inc .
Contract 423-098
Board Order Page 2
Contract 123-098 offers the County a no-risk opportunity to
recover significant third party revenue . HMS will perform these
services under a contingent fee arrangement . Payment to the
firm will be , therefore , entirely dependent upon the success of
its efforts . The County will pay HMS twenty-five percent (25%)
of the cash payments received from Medi-Cal , Medicare , and com-
mercial insurance payors as a result of the retroactive billings
which the firm generates .
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