Loading...
HomeMy WebLinkAbout23-Fire Department . ... CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION From: Larry R. Pitzer, Fire Chief Subject: Resolution Authorizing the City of San Bernardino Fire Department to enter into a billing services agreement with Stat Physicians' Services for first responder, paramedic, and membership program fees. O~I""''''~L fllt.., Ii ~ rl Dept: Fire Date: July 26,2001 MC/C Meeting Date: August 20, 2001 Synopsis of Previous Council Action: 03/20/97 Resolution authorizing the execution of an agreement with Stat Physicians' Service to provide billing services for the collection of fees for emergency medical services. RECOMMENDATION: Adopt resolution. Contact Person: Larry R. Pitzer Phone: (909) 384-5286 Supporting data attached: Staff Report. Resolution. Agreement Ward: Citv Wide FUNDING REQUIREMENTS: Amount: $46,410 Source: (Acct. No) 001-201-5505 Finance: (Acct. Description) Other Professional ~ Services ~~r~M4 Council Notes: 170<\ JJ2cC'\- ,;J0;A Agenda Item No. J.J gJUl/IJJ . ." - . STAFF REPORT SUBJECT Resolution authorizing the City of San Bernardino Fire Department to enter into a billing service agreement with Stat Physicians' Services for first responder, paramedic, and membership program fees. BACKGROUND Stat Physicians' Services is a medical billing agency located in the City of San Bernardino that has provided the City of San Bernardino Fire Department billing services since 1994. The company has a proven track record of excellent billing and collections with the Fire Department. Weare requesting that the billing contract be awarded to Stat Physicians' Services as a selective source. This request is because of the advantages of a local company, the existing relationship, and excellent track record of service from the company. The most recent contract was entered into on May 1, 1997 through April 30, 2000; there was an option to renew annually for up to two years. Both parties agreed to continue the contract until a successor contract could be established. Failure to "officially" renew the contract in a timely manner was an oversight. The billing process is initiated when Emergency Medical Services (EMS) personnel collect patient information on an EMS run sheet due to a service call (9-1-1). The forms are collected and brought to administration for accuracy and completeness. They are then forwarded to Stat Physicians' Services, the bill processing vendor, for EMS user fee bill generation and collection. Fire Department personnel provide basic life support (BLS) and advanced life support (ALS) services at medical aid calls. A charge of $100 for BLS and $200 for ALS calls is billed to persons receiving the help. Also, Stat Physicians' Services has a database that incorporates all membership enrollees. The membership is renewed annually and the individuals are notified by Stat Physicians' Services monthly when renewal is due. The membership program is designed to assist our city residents with affordable EMS. Enrollees in the membership program are not billed by the Fire Department for service calls. One membership is sold per household; consequently, all family members living within the household are covered by the membership. The City has two annual membership fees $24.00 and $12.00 (low-income members). In FY 00101 there were 947 enrolled members in the program that generated $21,500 in revenues for the City. Stat Physicians' Services is currently receiving an eight percent compensation rate for their services, based on seven percent for the collections of EMS user fee and membership program, and one percent for statistical information and reports that they provide. The statistical reports included: miles per run, destination, average time, and average number of calls by date, day, and 1 time. Because of our ability to collect data and produce reports from our new computer aided dispatch, we no longer need reports from Stat Physicians' Services. Consequently, we have adjusted their percentage to reflect their new compensation of seven percent for billing services. FINANCIAL IMPACT The projected emergency medical service user fee collection for FY 01-02 is $640,000 and $23,000 in revenue from the membership program is also anticipated in FY 01-02, for a combined total revenue of $663,000. Compensation to Stat Physicians' Services is a percentage not to exceed seven percent (7%) of amounts collected on behalf of the Fire Department under the billing program. Therefore, it is estimated that Stat Physicians' Services will be paid approximately $46,410 annually. Funding in the amount of $50,000 for this contract was included in the FY 01-02 Fire Department budget, account 001-201-5505. If revenues exceed projections, the contract costs will increase accordingly. However, the increased revenue will offset the increased contract cost. RECOMMENDATION Adopt Resolution. 2 1 ,- '- 2 3 4 5 6 7 8 9 10 11 12 13 .,.-. "- 14 15 16 17 18 19 20 21 22 23 24 25 ~- '-26 27 28 RESOLUTION NO. RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINIO AUTHORIZING THE CITY OF SAN BERNARDINO FIRE DEPARTMENT TO ENTER INTO A BILLING SERVICES AGREEMENT WITH STAT PHYSICIANS' SERVICES FOR FIRST RESPONDER, PARAMEDIC, AND MEMBERSHIP PROGRAM FEES. BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS: SECTION 1. The City and Stat Physicians' Services wish to enter into a two-year contract with one one-year renewal option regarding billing services for first responder, paramedic, membership program fees; SECTION 2. The Mayor or her designee is hereby authorized and directed to execute on behalf of City said Services Agreement with Stat Physicians' Services, a copy of which is attached hereto, marked Attachment "A" and incorporated herein by reference as fully as though set forth at length; SECTION 3. Said agreement will be for collection services for the period of September 1, 2001 through June 30, 2003 with one one-year renewal option, contingent upon funds being available and allocated in the budget. SECTION 4. The authorization to execute the above referenced Agreement is rescinded if the parties to the Agreement fail to execute it within sixty (60) days of the passage of this resolution. 111/ 111/ 111/ /111 /11/ 1111 /11/ /11/ 111/ ~ rf8 ~/u>);/ 1 1 .- \-...,. 2 3 4 5 6 7 8 9 10 11 12 13 C 14 15 16 17 18 19 20 21 22 23 24 25 ~- \""... 26 27 28 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDIN!O AUTHORIZING THE CITY OF SAN BERNARDINO FIRE DEPARTl\1ENT TO ENTER INTO A BILLING SERVICES AGREEl\1ENT WITH STAT PHYSICIANS' SERVICES FOR FIRST RESPONDER, PARAl\1EDIC, AND l\1EMBERSHIP PROGRAM FEES. I HEREBY CERTIFY that the foregoing resolution was duly adopted by the Mayor and Common Council of the City of San Bernardino at a meeting thereof, held on the day of ,2001 by the following vote, to wit: COUNCILl\1EMBERS AYES NAYS ABSTAIN ABSENT ESTRADA LIEN MCGINNIS SCHNETZ SUAREZ ANDERSON MC CAMMACK Rachel Clark, City Clerk The foregoing resolution is hereby approved this 2001. day of Judith Valles. Mayor City of San Bernardino Approved as to Form and legal content: JAMES F. PENMAN City Attorney B~i.~ 2 1 ,-- 2 ....... 3 4 5 6 - '- ',- 27 Attachment "A" SERVICES AGREEMENT THIS AGREEMENT is entered into this 1st day of September, 2001, between Stat Physicians' Services ("CONTRACTOR") and the CITY OF SAN BERNARDINO ("CITY)". WHEREAS, CITY has need for billing services for first responder and paramedic fees; 7 WHEREAS, CONTRACTOR is competent, experienced and able to perform said services; and, 8 9 10 11 WHEREAS, CONTRACTOR has provided the most advantageous and best responsible proposal for such services; NOW THEREFORE, the parties hereto agree as follows: 1. CONTRACTOR shall furnish billing services as indicated below: 12 13 A. Initial invoices will be mailed out within 3 days of receipt of paramedic run tickets. The following billing schedule will be followed: 14 Initial Invoice Second Notice Past Due Notice Collection Final Demand Immediately 30 days 45 days 60 days 75 days 15 16 17 18 B. All follow-up work required in order to collect insurance payments, including additional correspondence and telephone calls, will be performed by the CONTRACTOR and logged automatically in the patient's ledger. 19 20 21 22 C. CONTRACTOR will maintain current membership roster for the Paramedic Membership Program. The CONTRACTOR will bill for and maintain any new Membership Program the CITY may develop as well as renewal notices. D. CONTRACTOR will submit to the CITY documentation of each time they work a delinquent account, whether it be a phone call or correspondence with the patient or insurance company. A notation will be made on the patient's record of the date and information leamed from the contact person. Information such as mail returned or phone disconnected, etc., will also be recorded. The CONTRACTOR has a message box on their statements where the patient will be informed he/she is delinquent, and if no response, a deadline before collection and then a final demand all in the time frame the CITY prefers (up to 75 days). 23 24 25 26 E. Over 90 day cash accounts will be referred to the CITY along with above documentation of contact and recommendation made for turnover to collection agency or recommendation for write-off. 28 1 -- '- r- \,.... 1 5 /'''- '- I 2 3 F. CONTRACTOR will provide two separate reports to the CITY, one for those recommended for collection and the other for recommended write-offs. These reports to be generated twice a month. 4 G. Both reports will include all information regarding the patient: name, date of service, employer, reason why account is uncollectible, proof and dates of the CONTRACTOR's attempts to collect on the account. Upon approval and direction by the CITY, the CONTRACTOR will reference in billing history the date account is written-off and reference collection agency assigned to account. The CONTRACTOR will then return to the CITY accounts to be assigned to outside collection agency. 5 6 7 H. CONTRACTOR will collect and log into departmental receipt all funds collected as a result of services provided by the CITY within two days of receipt. They will be logged by the CONTRACTOR and delivered to the CITY by mail/courier. A check will be issued to the CITY monthly with a detailed report showing all payments, refunds, and adjustments. 8 9 10 2. Over the term of this Agreement, CONTRACTOR shall be paid for such services an amount 11 equal to 7% of bill collections. 12 13 3. CONTRACTOR shall provide Fire Department with a monthly invoice in arrears and shall be 14 provided payment within thirty (30) days therefrom. CITY retains the right to challenge all or any part of an invoice. 16 17 18 19 20 4. The initial term of this Agreement shall be two (2) years from the date first shown above and is subject to termination by either party upon thirty (30) days written notice to the other. There may be one-year extensions. 5. CONTRACTOR shall indemnify, defend and hold CITY, its officers, employees and agents harmless from any claim, demand, liability, suit, judgment or expense (including, without 21 22 23 limitation, reasonable costs of defense) arising out of or related to CONTRACTOR's performance of this agreement, except that such duty to indemnify, defend and hold harmless shall not apply where injury to person or property is caused by CITY's willful misconduct or 24 sole negligence. The costs, salary and expenses of the City Attorney and members of his office 25 26 in enforcing this Agreement on behalf of the City shall be considered as "attorney's fees" for 27 the purposes of this paragraph. 28 6. While not restricting or limiting the foregoing, during the term of this Agreement, 2 1 2 -- '-" 3 4 5 6 7 7. 8 9 10 11 12 13 14 9. ,.",- "- 15 16 17 18 19 20 21 22 23 24 25 26 ,- '- 27 28 CONTRACTOR shall maintain m effect policies of comprehensive public, general, and automobile liability insurance, in the amount of $1,000,000 combined single limit, and statutory worker's compensation coverage, and shall file copies of said policies with the CITY's Risk Manager prior to undertaking any work under this Agreement. The policies shall name the CITY as an additional insured and shall provide for ten (10) day notification to the CITY if said policies are terminated or materially altered. CONTRACTOR shall perform work tasks as directed by the Fire Chief or designee, but for all intents and purposes, CONTRACTOR shall be an independent contractor and not an agent or employee of the CITY. 8. In the performance of this Agreement and in the hiring and recruitment of employees, CONTRACTOR shall not discriminate on the basis of race, creed, color, religion, sex, physical handicap, ethnic background or country of origin. Any notice to be given pursuant to this Agreement shall be deposited with the United States Postal Service, postage prepaid and addressed as follows: TO THE CITY: Larry Pitzer, Fire Chief City of San Bernardino Fire Department 200 East Third Street San Bernardino CA 92410 TO THE CONTRACTOR Stat Physicians Services P.O. Box2310 San Bernardino CA 92406 (909) 425-8155 3 1 ,,-, 2 "'..... 3 Nothing in this paragraph shall be construed to prevent the giving of notice by personal service. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day by: Stat Phvsicians Services Business Name Authorized Signature Name: Patricia Scott Title: President CITY OF SAN BERNARDINO by: Judith Valles Mayor City of San Bernardino 4 OFFICE OF THE CITY CLERK RAcHEL G. CLARK, C.M.C. - CITY CLERK '" P.O. Box 1318 . San Bernardino' CA 92402 300 North "D" Street. San Bernardino' CA 92418-0001 909.384.5002. Fax: 909.384.5158 Business Registration Division: 909.384.5302 Passport Acceptance Facility: 909.384.5128 www.cLsan-bernardino.ca.us August 28, 2001 Patricia Scott Stat Physicians Services P.O. Box 2310 San Bernardino, CA 92406 Dear Ms. Scott. At the Mayor and Common Council meeting of August 20, 200 I, the City of San Bernardino adopted Resolution 2001-262 - Resolution authorizing the City of San Bernardino Fire Department to enter into a billing services agreement with Stat Physicians' Services for first responder. paramedic. and membership programfees. Enclosed is one (1) original agreement. Please sign in the appropriate location and return the original agreement to the City Clerk's Office, Attn: Michelle Taylor, P.O. Box 1318, San Bernardino, CA 92402, as soon as possible. Please retain a copy of the agreement/or yourfiles. Please be advised that the resolution and agreement will be null and void if not executed within 60 days, or by October 19, 2001. If you have any questions, please do not hesitate to contact me at (909)384-5002. Sincerely, -i j' l ~_ ,~ ~ Michelle Taylor Senior Secretary Enclosure cc: Larry R. Pitzer, Fire Chief CITY OF SAN BERNARDINO ADOPTED SHARED VALVES: Integrity' Accountability' Respect for Human Dignity' Honesty CITY OF SAN BERNARDINO Interoffice Memorandum CITY CLERK'S OFFICE Records and Information Management (RIM) Program DATE: September 17, 2001 TO: Larry R. Pitzer, Fire Chief FROM: Michelle Taylor, Senior Secretary RE: Resolution 2001-262 - Stat Physicians' Services CC: Finance Attached is a copy of the billing services agreement between the City of San Bernardino Fire Department and Stat Physicians' Services for first responder, paramedic, and membership program fees. The original agreement is on file in the City Clerk's Office. If you have any questions, please call me at ext. 3206. ** FOR OFFICE USE ONLY - NOT A PUBLIC DOCUMENT ** RESOLUTION AGENDA ITEM TRACKING FORM Meeting Date (Date Adopted): 8-;)0-(:,1 Item # Vote: Ayes II L{ -'\ Nays-e- Change to motion to amend original documents: - 2..."':, Resolution # '2CDI-d(,;;). Abstain -G- Absent d, ,"", Reso. # On Attachments: L Contract term: ~CI - to 121:-) } () ::\ I Note on Resolution of Attachment stored separately: -=- Direct City Clerk to (circle I): PUBLISH, POST, RECORD W/COUNTY Date Sent to Mayor: 15-- ;).;)-01 Date of Mayor's Signature: 2s'-23 "0/ Date ofClerklCDC Signature: '6-23-0\ Date MemolLetter Sent for Signature: is- d~0\ NullNoid After: 10(') OAqj J 10 -I q - () I I I By: - Reso. Log Updated: V Seal Impressed: v 60 Day Reminder Letter Sent on 30th day: 90 Day Reminder Letter Sent on 45th day: See Attached: ./ Date Returned: <if -/:)-0 I See Attached: See Attached: Request for Council Action & Staff Report Attached: Updated Prior Resolutions (Other Than Below): Updated CITY Personnel Folders (6413, 6429, 6433, 10584, 10585, 12634): Updated CDC Personnel Folders (5557): Updated Traffic Folders (3985, 8234,655,92-389): Copies Distributed to: City Attorney / Code Compliance Dev. Services Parks & Rec. Police Public Services Water Notes: Yes---L No By Yes No --L.. By Yes No-L By Yes No v By Yes No / By - EDA Finance ,,/ Others: h i2..f:;;' MIS BEFORE FILING. REVIEW FORM TO ENSURE ANY NOTATIONS MADE HERE ARE TRANSFERRED TO THE YEARLY RESOLUTION CHRONOLOGICAL LOG FOR FUTURE REFERENCE (Contract Term, etc.l Ready to File: ~ Date: ~l Revised 01/12/01