HomeMy WebLinkAboutMINUTES - 10141997 - C46 TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director
By: Ginger Marieiro, Contracts Administrator ; Contra
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DATE: October 2, 1997 - Costa
SUBJECT: Approval of Standard Contract #23-230 with County
Phillips Billing Specialists, Inc .
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Patrick Godley) , to execute on behalf of the County, Standard
Contract #23-230 with Phillips Billing Specialists, Inc . , for the
period from October 1, 1997 through September 30, 1999 to provide
billing services for the processing of out-of-state Medicaid claims .
II . FINANCIAL IMPACT:
This Contract is funded by third party recoveries . Contractor will
be paid on a collection based contingency fee for the amounts
Contractor collects on out-of-state Medicaid claims as follows :
- 100 on inpatient claims
- $50 flat fee on outpatient claims
III . REASONS FOR RECOMMENDATIONS/BACKGROUND:
Periodically, patients are treated at Merrithew Memorial Hospital
and Health Centers who are from out-of-state and who may be eligible
for Medicaid benefits in their State of residence . Policies and
regulations governing Medicaid reimbursement are very complex and
vary from State to State, making it difficult, if not impossible,
for the County to pursue reimbursement for care it has rendered to
out-of-state residents .
Phillips Billing Specialists, Inc . , has the expertise to pursue and
process out-of-state Medicaid claims on behalf of the County, and
will be paid on a collection based contingency fee for any amounts
it collects for the County.
CONTINUED ON ATTACHMENT: YES SIGNATURE: '
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIG'NATURE(S)
ACTION OF BOARD ON - APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
J/ UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Pat Godley (370-5007)
CC: Health Services (Contracts) ATTESTED �-L'A'LL'_
Risk management Phil Batchelor,Clerk of the goirdol
Auditor-Controller Supervisors and County Administrator
Contractor
M38217-83 BY DEPUTY