HomeMy WebLinkAboutMINUTES - 10242006 - C.62 (3) TO: BOARD OF SUPERVISORS Contra
FROM: William Walker,M.D.,Health Services Director Costa
By: Jacqueline Pigg, Contracts Administrator
DATE: October 18, 2006 .... COUrIt\/
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SUBJECT: Approval of Contract#23-261-3 with NHI Billing Services,Inc.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Patrick Godley), to execute on
behalf of the County, Contract #23-261-3 with NHI Billing Services, Inc., a corporation, in an
amount not to exceed $50,000,to provide billing services for the processing of out-of-state Medicaid
claims, for the period from October 1,2006 through June 30, 2007.
FISCAL IMPACT:
This Contract is funded by third party recoveries. Contractor will be paid a 10% commission for the
amounts Contractor collect on out-of-state inpatient Medicaid claims, not to exceed a total of
$10,000 for each inpatient claim. Contractor will be paid $50.00 for each outpatient Medicaid claim
collected.
BACKGROUND/REASON(S)FOR RECOMMENDATION(S):
Periodically, patients are treated at Contra Costa Regional Medical Center and Contra Costa 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. Services under this Contract were provided formerly
under National Healthet, Inc., now known as NHI Billing Services, Inc. NEI Billing Services., Inc.,
has the expertise to pursue and process out-of-state Medicaid claims on behalf of the County.
Under Contract #23-261-3, Contractor will provide billing services for the processing of out-of-
state Medicaid claims through June 30, 2007.
CONTINUED ON ATTACHMENT: YES SIGNATUR : &Vc 2_
--kZRECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
r
SIGNATURE (S): j
ACTION OF BOARDN I r APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT TL IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
�ANIMOUS (ABSENT AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN:
Contact Person: Pat Godley 957-5410 ATTESTED
1
JOHN CULLEN, CLERK 0 E BOARD OF
CC: Health Services Department (Contracts) SUPERVISORS AND COUNTY ADMINISTRATOR
Auditor Controller "
Contractor BY EPUTY