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HomeMy WebLinkAbout1991-107 18 19 20 21 22 23 24 25 26 27 28 . . 1 RESOLUTION NO. 91-107 2 RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT BY AND BETWEEN THE CITY OF 3 SAN BERNARDINO AND COURTESY SERVICES OF SAN BERNARDINO, INC. TO PROVIDE BILLING SERVICES FOR THE EMERGENCY MEDICAL SERVICE FEE 4 PROGRAM. 5 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS: 6 SECTION 1. The Mayor is hereby authorized and directed to 7 8 execute on behalf of said City an agreement by and between the 9 City of San Bernardino and Courtesy Services of San Bernardino, 10 Inc. to provide billing services for the Emergency Medical 11 Service fee program, a copy of said agreement is attached hereto, 12 marked Exhibit "A", and incorporated herein by reference as fully as though set forth at length. 13 SECTION 2. The authorization to execute the above- 14 15 referenced agreement is rescinded if the parties to the agreement 16 fail to execute it within sixty (60) days of the passage of this resolution. 17 / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / DCR/dys/courtesy.res 1 March 18, 1991 1 RESOLUTION.. .AUTHORIZING THE EXECUTION OF AN AGREEMENT BY AND BETWEEN THE CITY OF SAN BERNARDINO AND COURTESY SERVICES OF 2 SAN BERNARDINO, INC.... FOR THE EMERGENCY MEDICAL SERVICE FEE PROGRAM. 3 4 I HEREBY CERTIFY that the foregoing resolution was duly 5 adopted by the Mayor and Common Council of the City of 6 San Bernardino at a regular meeting thereof, held on the day of , 1991, by the following vote, to wit: 7 1st April 8 Council Members: 9 ESTRADA 10 REILLY 11 FLORES 12 MAUDSLEY 13 MINOR 14 POPE-LUDLAM 15 MILLER 16 17 18 AYES NAYS ABSTAIN x x x x x x x ~~~d- Cit Clerk of The foregoing resolution is hereby approved thi[';/, 2nd day /' / 19 20 April , 1991. 21 22 23 Approved as to form and legal content: 24 25 JAMES F. PENMAN, City Attorney 26 /~ 27 28 DCR/dys/courtesy.res March 18, 1991 2 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 fu,o.o.l-\OI 1 AGREEMENT 2 THIS AGREEMENT, made and entered into this 15th day 3 of 1991 by and between the CITY OF April 4 SAN BERNARDINO, a Charter City of the State of California 5 ("Ci ty") and COURTESY SERVICES OF SAN BERNARDINO, INC., a 6 California corporation ("Courtesy"): 7 WITNESSETH: 8 WHEREAS, City has established a billing program for 9 Emergency Medical Services (EMS) provided by City, and WHEREAS, Courtesy asserts that it is expert and competent to prepare billing for such services and provide necessary reports to City, and WHEREAS, the parties desire to enter into an Agreement for Courtesy to prepare such billing and to provide City with such reports, NOW THEREFORE, the parties hereto agree as follows: 1. City will provide the following services and information: a. City, by and through its Fire Department, will provide necessary billing information from EMS calls to Courtesy for bill preparation. City may use a form which substantially conforms to that form attached hereto as Exhibit "1" and incorporated herein. By mutual agreement between the parties, the form or such necessary information may be altered or adjusted from time to time. b. Payments on bills will be received in and receipted by City, by and through its Finance Department. DAB/ses/dys/courtes2.agr 1 March 18, 1991 1 City, by and through its Finance Department, c. 2 shall forward a copy of the receipt to Courtesy for data base 3 updating. 4 City, by and through its Finance Department, will d. 5 provide Courtesy by the lOth of each month a list of all members 6 of the Emergency Medical Services fee program as of the last day 7 Such report shall not be required if of the previous month. 8 there is no change in the member list. 9 2. Courtesy shall provide the following services and 10 information: 11 a. Upon receipt from City, Courtesy will input 12 billing information into computer and generate individual bills. 13 Within thirty (30) days of receipt of b. 14 information, Courtesy will forward bills to City's print shop to 15 be metered and mailed. 16 c. Courtesy will provide the City's Finance and Fire 17 Departments with reasonable reports on the program as requested 18 by heads of such departments. 19 20 d. Courtesy will assist the City's Finance Department with answering billing questions. At the option of 21 City, Courtesy may respond directly to consumer or may provide 23 22 answers to City. Courtesy will not alter billing charges once e. 24 generated unless authorized by the City's Finance Department. 25 26 f. Courtesy will incorporate the member information provided by City into the data base before billing. Such 27 members will not be billed. 28 / / / DAB/Ses/dys/courtes2.agr 2 March 18, 1991 10 1 3. This Agreement shall commence on the day and date 2 first above shown and shall terminate on June 30, 1993. Either 3 party may terminate this Agreement at any time upon thirty (30) 4 days written notice to the other. Upon termination all records 5 within the computer data bases, etc. dealing with the City 6 billing shall be returned to the City by Courtesy. 7 4. For services provided pursuant to this Agreement, 8 Courtesy shall be compensated 9.5% of the amount collected from 9 bills with the exception of the membership fee payable monthly, by the fifteenth of the subsequent month. All billing costs 11 shall be the sole cost and expense of Courtesy. 12 5. Courtesy shall be responsible only for the preparation 13 of bills and shall have no obligation whatsoever relating to 14 receipt or posting of cash, checks, or other payments. 15 6. For the purposes of this Agreement Courtesy shall be 16 an independent contractor and shall not be considered as an agent 17 or employee of City. 18 7. Any notice to be sent pursuant to this Agreement from 19 one party to the other shall be in writing and deposited with the 20 United states Postal Service, postage prepaid and addressed as 22 21 follows: TO CITY: City Administrator City of San Bernardino 300 N. "D" Street San Bernardino, CA 92418 23 24 TO COURTESY: Courtesy Services of San Bernardino, Inc. 338 West Seventh Street San Bernardino, CA 92401 25 26 Nothing in this paragraph shall be construed to prevent the 27 giving of notice by personal service. 28 DABjsesjdysjcourtes2.agr 3 March 18, 1991 I---.~ 1 8. Courtesy may not assign this Agreement, nor may it be 2 assigned by operation of law, without prior written approval by 3 City. 4 9. Courtesy agrees to defend, indemnify, save and hold 5 City, its officers, agents and employees harmless from any claims 6 or suits that may be brought by third persons on account of 7 personal injury, death, or damage to property, or a property or 8 business or personal interest, arising from any negligent act or 9 omission by Courtesy while performing services under this 10 Agreement. 11 10. City shall have the right during the term of this 12 Agreement and for 180 days thereafter to examine Courtesy's books 13 and records as they pertain to this Agreement during business 14 hours and upon reasonable notice. Courtesy agrees to make such 15 books and records available within the City limits of the City of 16 San Bernardino for such examination. 17 11. This document contains the entire agreement between 18 the parties and may only be amended in writing. 19 20 21 22 23 24 25 26 27 28 / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / DAB/ses/dys/courtes2.agr 4 March 18, 1991 1 AGREEMENT BY AND BETWEEN THE CITY OF SAN BERNARDINO AND COURTESY SERVICES OF SAN BERNARDINO, INC. 2 3 IN WITNESS WHEREOF, the parties hereto have executed this 4 Agreement on the day and date first above shown. 5 6 7 8 9 ATTEST: 10 ..) . "J1{ BY: ! /1 'v~/u0(. , I /",-'v'h '-t,') , City Clerk . 11 12 Approved as to form and legal content: 13 14 JAMES F. PENMAN, City Attorney 15 OF J (' 'M2o T f!c.~ 16 17 COURTE Y S VIC~ SAN BER RDINO INC. J / I /~j BY: I- 18 19 20 BY: 21 22 23 24 25 26 27 28 DAB/ses/dys/courtes2.agr 5 March 18, 1991 ~ . SectJnn C , C:~M~~e~r~~d ~I~~~~r~i~? 0 ( Do ~~. in u.. spac. ) . SectiOn F . . FIRE MEO Member No. ITlID OJ SllCtionA TI1IIl~: DVM ~ D PrivateVehide AmbulanCa: Courtesy Uril II 0 []PM D EMT Saetion 0 [ Wo [Oja ] SllCtionG IrmTINo'ITlIDJ Section E Section B [ LooMIo. Sp.l 00_ ] UNIT 1 DISPATCH ARRIVAL FINISHED TOTAL RESPONSE Dasdnatlon: OSt.B. OSBCMC O~H o Ll.UMC 0 Klliaar 0"".. I'IIIIaraNlma f>9a _ Sax OM OF O,O.B. S Space Adctaoa Ajt.No City Zip I Parertl TaIephone Legal Gardan Addrass L HaaIth IrISU'ane& Carrier Group' Pdiey No. Med.Care No L I Sac. Sac. No. IrISU'ane& Poky HoIdar N EfTllIoyer Adaass City Phone G D Industrial Injury D ALS Charge $200 D SLS Charge $ 100 BSH Cor1a1 NO BSHCa1ad NO Charge pt. I ned A.MA Care Refused Public Service D.OA Section J Situation: Action: Section K SBFO EMS Providers Names B 8 B B (First In~ial and Last Name) R"IlOrting 0Iliear Sig1 Officer in Charge Rarl< Reviewed By ,.rm M. 2 EXHIBIT 11111 l MEDICAL I BILL RELEASE I request that payment of authorized Medicare and! or other insurance benefits be made e~her to me or on my behaff TO THE CITY OF SAN BERNARDINO or ~'s agents for any medically related services fumished to me by the C~ of San Bernardino Fire Department. I authorize any holder of medical information about me to release to the Heahh Care Financing Administration and ~'s agents or other authorized interested parties information needed to determine these benef~s or the benefits payable to related services. I understand my signature requests that payment be made and authorize release of medical information necessary to pay the claim. ~ other heahh insurance is indicated in ~em 9 of the HCFA 1500 form OR elsewhere on other approved claim forms of eledronically submitted claims, my signature authorizes release of the information to the insurer or agency shown. Only in Medicare accepted assigned cases, the physician or supplier agrees to accept the charge determination of the Medicare carrier as the full charge, and the patient is responsible only for the dedudible, coinsurance and noncovered services. Coinsurance and the deductible are based upon the charge determination of the Medicare carrier. I understand that any form of payment other than payment in full at time of service of this bill const~utes the granting of credtt to me by the C~ of San Bernardino. Further in accordance w~h this granting of cred~ I authorize and dired any agency, company or person holding information relating to my credit history and background to release such information to The C~ of San Bernardino or it's agents. I herebv aaree to Dav anv balance due after Insurance Davment If I am not a current FIREMED Member If I am a current FIREMED Member my Insurance deductible balance owed to the City of San Bernardino has been pre-paid by the membership and any payment made to the C~y of San Bernardin~ or ~'s agents by my insurance on my beha~ will be accepted as payment in full. X Patient Signature X Signed for Patient by PrW Reason I patient was unable ID sign lor seW I hereby certffy that the above named patient was accompanied to this facil~y by the San Bernardino C~y Fire Dept. FACUTY SGtBl Tm.E DATE NOTICE TO MEDICARE BENEFICIARY Medicare will only pay for services that ~ determines to be "reasonable and necessary" under Sadion 1862(a)(1) of the Social Security Ad. We believe that, for the services provided to you OR about to be provided to you by the San Bernardino C~ Fire Dept., Medicare may deny payment unless certain diagnosis OR cond~ions are present. ~QC~C~~QCCCCCCC~C: ell ~1CCCCCCCCCCCCCCCCCCCCCCCCCccccccccccccccccccccccccccac:c:cccccccor~cc SBFD PI MEDIC AMB..PI MEDIC INITIATED ALS SERVICES TO PT. YESD NoD INITIATED ALS SERVICES TO PT. YESD NoD PROVIDED ALS SERVICES TO PT. )'ES D NO [1 PROVIDED ALS SERVICES TO PT. YES D NO CJ