HomeMy WebLinkAboutMINUTES - 05062008 - C.51 TO: BOARD OF SUPERVISORS �--------
Contra .
FROM: William Walker, M.D., Health Services Director
� ,...Wl Costa.
By: Jacqueline Pigg, Contracts Administrator )a
DATE: April 23, 2008 County
TL COL
SUBJECT:
Approval of Contract#23-261-4 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 #23-261-4 with NI-11 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 April 1, 2008 through June 30, 2009.
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 claire. Contractor will be paid $50.00 for each outpatient Medicaid claim
collected.
BACKGROUNDIREASON(S) FOR RECOMMENDATION(S):
Periodically, patients are treated at Contra Costa Regional Medical Center and Contra Costa Health
Centers who are frorn 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 fonnerly
under National Ilealthet, Inc., now known as NHI Billing Services, Inc. NI-II Billing Services, Inc.,
has the expertise to pursue and process out-of-state Medicaid claims on behalf of the County.
Under Contract #23-261-4, Contractor will provide billing services for the processing of out-of-
state Medicaid claims through June 30, 2009.
CONTINUED ON ATTACHMENT: YES SIGNATURE: �' -Oct
✓RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
✓APPROVE 0 ER
SIGNATURE (S).
ACTION OF BOARD rJ -10(2�!" APPROVED AS RECOMMENDED OTHER
VOTE Of SUPERVI RS I HEREBY CERTIFY THAT THIS IS A TRUE
/)(\ �+ AND CORRECT COPY OF AN ACTION TAKEN
UNANIMOUS (ABSENT /ll AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: _.__. OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN:
ATTESTED
Contact Person: Pat Godley 957-5410 JOHN CULLEN, CLERK OF THE BOARD OF
CC: Health Services Department (Contracts) SUPERVISORS AND COUNTY ADMINISTRATOR
Auditor Controller 4�,0r
Contractor BY !� DEPUTY