HomeMy WebLinkAbout15-Fire Department CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION
From: Michael J. Conrad, Fire Chief Subject: Resolution authorizing the execution of an
agreement and issuance of an annual purchase
order to Intermedix/Advanced Data Processing,
Dept: Fire Inc. to provide billing services for first responder,
paramedic, and membership program fees.
Date: June 8, 2011 MC/C Meeting Date: June 20, 2011 ,ql /
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UUNIUHNII-AL
Synopsis of Previous Council Action:
09/15/08 Resolution 2008-358 authorization to enter into an agreement with Advance Data Processing Inc.
to provide EMS billing services for first responder,paramedic, and membership program fees.
07/07/08 Resolution 2008-275 amending the city's master fee schedule,resolution number 2008-149
adjusting the emergency medical services (EMS)user fees.
07/02/07 Resolution 2007-225 authorization to extend the agreement with Advance Data Processing Inc. to
provide EMS billing services from July 1, 2007 through June 30, 2008.
05/15/06 Resolution 2006-147 Second reading of ordinance repealing Chapter 3.72 of the San Bernardino
Municipal Code or resolution adopting revised EMS User Fee Program and authorizing execution
of amendment to agreement with ADPI.
10/18/04 Resolution 2004-333 approving the billing service agreement with Advanced Data Processing
West, Inc. for first responder,paramedic, and membership program fees.
RECOMMENDATION:
Adopt resolution.
Signature
Contact Person: Bernard Horak, EMS Coordinator Phone: (909) 384-5286
Supporting data attached: Staff Report Resolution, Agreement, and Proposal Ward: Citywide
FUNDING REQUIREMENTS: Amount: $100,000 (Note: net revenues for
program after reduciniz for this contract are estimated to be $300,000).
Source: (Acct.No.) 001-200-5505-0000-0001
(Acct. Description) Other Professional
Services
Finance:
Council Notes: ,I,SDD��'
Agenda Item No.
i
Y
t
STAFF REPORT
SUBJECT
Resolution authorizing the execution of an agreement and issuance of an annual purchase order to
Intermedix/Advanced Data Processing, Inc. to provide billing services for first responder, paramedic,
and membership program fees.
BACKGROUND
The San Bernardino City Fire Department has provided Emergency Medical Services (EMS) at the
Advanced Life Support (Paramedic) level to our residents and visitors since 1976. These services are
over and above the tax-funded functions of the Fire Department. As such, the Fire Department bills for
those first responder paramedic services in an attempt to cover the additional equipment, personnel, and
training costs involved with providing timely,high quality paramedic service.
Currently, the charge for these services is set at $200. We have a subscription program, which gives our
residents the ability to pay a lower fee (currently $24) which covers themselves and their household
members for paramedic services for the fiscal year. We have an exemption for low-income residents
that qualify. Our fee structure is considerably less than other cities in the area that charge for
EMS/Paramedic response; with some fees running at $300-350 for residents, $450 for non-residents, and
$48 for an annual subscription.
Since the initiation of the paramedic first responder program 30 years ago, the Fire Department has
significantly increased its commitment and resources to provide our residents timely and high-quality
EMS response. We have grown from three paramedic units in 1977, to all 12 of our engine companies
operating at the paramedic level of service. Additionally, we have implemented a paramedic squad, and
added paramedics to one of our truck(ladder) companies in order to improve our response times in areas
of the city most heavily impacted by EMS calls.
We are requesting that the contract for billing services be awarded to Intermedix/Advanced Data
Processing, Inc. (ADPI). This company has provided billing services for our EMS services under the
current contract since 2008 and has demonstrated a commitment to our City with continuous
improvement in customer service. The bid proposal was published locally and sent to the Chamber of
Commerce and seven EMS billing companies. Two responses were received, one from
Intermedix/ADPI and one from an additional vendor. No responses were received from local vendors.
Both bidders are qualified with excellent records of providing billing services for fire department first
responder paramedic services. Intermedix/ADPI's cost proposal did not increase from the current
contract and is an all-inclusive bid, reflecting their knowledge of the City and their confidence in
meeting the contract specifications. The other bid was variable and included costs that would require
further negotiation. Additionally, Intermedix/ADPI has worked closely with the City assisting us with
the implementation of the electronic patient care report data collection program, resulting in increased
collections of over 60%.
Pursuant to the City's bidding process, it is recommended that Intermedix/ADPI be awarded the
agreement under Request for Quote #F-11-15 for EMS billing services. Fire staff recommends that an
annual purchase order be issued for two years with the option of renewing the contract annually for up to
three years for EMS billing services.
The term of the agreement is for two years, from July 1, 2011 through June 30, 2013, with automatic
renewals for successive three single-year options unless either party gives the other party notice of
cancellation. The agreement provides that either party may terminate this agreement by giving not less
than thirty(30) days written notice to the other party of said intent to terminate.
FISCAL IMPACT
By awarding the bid to ADPI, we anticipate that we will continue to refine our process and ability to
collect for our EMS/paramedic first responder program.
Compensation to Intermedix/ADPI is a percentage not to exceed twenty-five percent (25%) of amounts
collected on behalf of the Fire Department under the billing program. Therefore, it is estimated that
approximately $100,000 of the annual gross revenue will be paid to Intermedix/ADPI for billing
services. Net projected revenue (after subtracting anticipated contract costs of approx. $100,000 from
gross projected revenue of$400,000) is $300,000.
Funding for this contract cost is budgeted in the Fire Department's FY 2011-12 proposed budget,
account for other professional services (no. 001-200-5505-0000-0001). Since the contractor is paid
based on a percentage of revenues collected, should revenues exceed projections there will be a
corresponding increase in contract costs. However, the increased revenue will more than offset any
possible increases in contract costs.
Account Number: 001-200-5505-0000-0001 Budgeted Amount: $157,000
Balance as of May 26, 2011: $157,000 Balance after approval of this item: $57,000
Please note this balance does not indicate available funding. It does not include non-
encumbered reoccurring expenses or expenses incurred but not yet processed.
RECOMMENDATION
Adopt resolution.
RESOLUTION NO.
C (OPY
1 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
2 SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT
AND ISSUANCE OF AN ANNUAL PURCHASE ORDER TO
3 INTERMEDIX/ADVANCED DATA PROCESSING, INC. TO PROVIDE BILLING
SERVICES FOR FIRST RESPONDER, PARAMEDIC, AND MEMBERSHIP
4 PROGRAM FEES.
5 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF
6 SAN BERNARDINO AS FOLLOWS:
7 SECTION 1. Intermedix/Advanced Data Processing, Inc., is the best responsible
8 bidder to provide billing services for first responder, paramedic, and membership program
9 fees, in accordance with Bid Specification#F-11-15;
10 SECTION 2. The City Manager is hereby authorized and directed to execute on behalf
11 of City a Services Agreement with Intermedix/Advanced Data Processing, Inc., a copy of
12 which is attached hereto, marked Exhibit "A" and incorporated herein by reference as though
13 fully set forth at length;
14
SECTION 3. Said agreement will be for EMS billing collection services for the period
15
of July 1, 2011 through June 30, 2013, with three one-year renewal options; therefore, any
16 action taken between July 1, 2011 and the date that the agreement is executed is hereby
17
ratified.
18
19 SECTION 4. The Purchasing Manager is authorized to issue an annual purchase order
20 to Intermedix/Advanced Data Processing, Inc. The annual purchase order is for two years with
21 the option of three one-year extensions. All other bids are hereby rejected;
22 SECTION 5. The Intermedix/Advanced Data Processing, Inc. Annual Purchase Order
23 shall incorporate by reference this Resolution and Bid Specification #F-11-15 and shall be in
24
an amount equal to 25% of net revenue collected, as set forth in Exhibit"A."
t SECTION 6. The authorization to execute the above referenced Agreement and
26
tY Annual Purchase Order is rescinded if the parties to the Agreement fail to execute it within
27
28 sixty (60) days of the passage of this Resolution.
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT AND
1 ISSUANCE OF AN ANNUAL PURCHASE ORDER TO INTERMEDIX/ADVANCED
DATA PROCESSING, INC. TO PROVIDE BILLING SERVICES
2
3 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor and
4 Common Council of the City of San Bernardino at a meeting thereof, held on
5 the day of , 2011, by the following vote,to wit:
6
7
COUNCIL MEMBERS: AYES NAYS ABSTAIN ABSENT
8
9 MARQUEZ
10
VACANT
11
12 BRINKER
13 SHORETT
14 KELLEY
15 JOHNSON
16 MCCAMMACK
17
18 Rachel G. Clark, City Clerk
City of San Bernardino
19
20 The foregoing Resolution is hereby approved this day of , 2011.
21
22
23 Patrick J. Morris, Mayor
City of San Bernardino
24 Approved as to form:
25
JAMES F. PENMAN, City Attorney
26
27 By.
28
2
r
Exhibit A
SERVICES AGREEMENT
CITY OF SAN BERNARDINO
INTERMEDIX-ADPI
THIS AGREEMENT is entered into this 1 st day of July, 2011,between INTERMEDIX
- Advanced Data Processing, Inc ("CONTRACTOR") and the CITY OF SAN BERNARDINO
("CITY)".
WITNESSETH:
A. WHEREAS, CITY has need for billing services for first responder, paramedic,
and membership program fees and,
B. WHEREAS, CONTRACTOR is competent, experienced and able to perform
said services: and,
C. WHEREAS, CONTRACTOR has provided the most advantageous and best
responsible proposal for the providing of such services;
NOW THEREFORE, the parties hereto agree as follows:
1. SCOPE OF SERVICES.
For the remuneration set forth in Paragraph 2, below, CONTRACTOR shall furnish
billing services for first responder, paramedic, and membership program fees in accordance with
Proposal Specification#F-11-15, relevant portions of which are attached hereto and incorporated
herein as Attachment 1.
2. COMPENSATION AND EXPENSES.
a. CITY shall compensate CONTRACTOR for such services an amount equal to
twenty-five percent (25%) of CONTRACTOR's net collections, in accordance with
and more specifically set forth in Attachement 1 and CONTRACTOR's Cost
Proposal, attached hereto and incorporated herein as Attachment 2.
b. CONTRACTOR shall provide City of San Bernardino Fire Dept with a monthly
invoice in arrears and shall be provided payment within thirty (30) days therefrom.
CITY retains the right to challenge all or any part of an invoice.
c. No other expenditures made by CONTRACTOR shall be reimbursed by CITY.
3. TERM; TERMINATION.
The initial term of this Agreement shall be two (2) years from the date first shown above.
This Agreement may be terminated at any time by thirty (30) days' written notice by
either party. The terms of this Agreement shall remain in force unless mutually amended. The
duration of this Agreement may be extended for three (3) additional one-year terms with the
written consent of both parties.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 1
4. INDEMNITY.
CONTRACTOR agrees to and shall indemnify and hold the City, its elected officials,
employees, agents or representatives, free and harmless from all claims, actions, damages and
liabilities of any kind and nature arising from bodily injury, including death, or property damage,
based or asserted upon any actual or alleged act or omission of CONTRACTOR, its employees,
agents, or subcontractors, relating to or in any way connected with the accomplishment of the
work or performance of services under this Agreement, unless the bodily injury or property
damage was actually caused by the sole negligence of the City, its elected officials, employees,
agents or representatives. As part of the foregoing indemnity, CONTRACTOR agrees to protect
and defend at its own expense, including attorney's fees, the City, its elected officials,
employees, agents or representatives from any and all legal actions based upon such actual or
alleged acts or omissions. CONTRACTOR hereby waives any and all rights to any types of
express or implied indemnity against the City, its elected officials, employees, agents or
representatives,with respect to third party claims against the CONTRACTOR relating to or in
any way connected with the accomplishment of the work or performance of services under this
Agreement.
5. INSURANCE.
While not restricting or limiting the foregoing, during the term of this Agreement,
CONTRACTOR shall maintain in effect policies of comprehensive public, general and
automobile liability insurance, in the amount of $1,000,000.00 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. CITY shall be set forth as
an additional named insured in each policy of insurance provided hereunder. The Certificate of
Insurance furnished to the CITY shall require the insurer to notify CITY at least 30 days prior to
any change in or termination of the policy.
6. NON-DISCRIMINATION.
In the performance of this Agreement and in the hiring and recruitment of employees,
CONTRACTOR shall not engage in, nor permit its officers, employees or agents to engage in,
discrimination in employment of persons because of their race, religion, color, national origin,
ancestry, age, mental or physical disability, medical condition, marital status, sexual gender or
sexual orientation, or any other status protected by law.
7. INDEPENDENT CONTRACTOR.
CONTRACTOR shall perform work tasks provided by this Agreement, but for all intents
and purposes CONTRACTOR shall be an independent contractor and not an agent or employee
of the CITY. CONTRACTOR shall secure, at its expense, and be responsible for any and all
payment of Income Tax, Social Security, State Disability Insurance Compensation,
Unemployment Compensation, and other payroll deductions for CONTRACTOR and its
officers, agents, and employees, and all business license, if any are required, in connection with
the services to be performed hereunder.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 2
I'
8. BUSINESS REGISTRATION CERTIFICATE AND OTHER REQUIREMENTS.
CONTRACTOR warrants that it possesses or shall obtain, and maintain a business
registration certificate pursuant to Chapter 5 of the Municipal Code, and any other licenses,
permits, qualifications, insurance and approval of whatever nature that are legally required of
CONTRACTOR to practice its business or profession.
9. NOTICES.
Any notices 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: TO THE CONTRACTOR:
Fire Chief Michael J. Conrad and Intermedix Corporation (ADPI)
EMS Coordinator Bernard Horak 6451 North Federal Highway, Suite 1002
City of San Bernardino Fire Department Fort Lauderdale,FL 33308
200 E. Third Street
San Bernardino CA 92410
Nothing in this paragraph shall be construed to prevent the giving of notice by personal service.
10. ATTORNEYS' FEES
In the event that litigation is brought by any party in connection with this Agreement, the
prevailing party shall be entitled to recover from the opposing party all costs and expenses,
including reasonable attorneys' fees, incurred by the prevailing party in the exercise of any of its
rights or remedies hereunder or the enforcement of any of the terms, conditions or provisions
hereof. Attorneys' fees for the City Attorney and members of his office shall be calculated based
on the market rate for comparable services.
11. ASSIGNMENT.
CONTRACTOR shall not voluntarily or by operation of law assign, transfer, sublet or
encumber all or any part of the CONTRACTOR's interest in this Agreement without CITY's
prior written consent. Any attempted assignment, transfer, subletting or encumbrance shall be
void and shall constitute a breach of this Agreement and cause for the termination of this
Agreement. Regardless of CITY's consent, no subletting or assignment shall release
CONTRACTOR of CONTRACTOR's obligation to perform all other obligations to be
performed by CONTRACTOR hereunder for the term of this Agreement.
12. VENUE.
The parties hereto agree that all actions or proceedings arising in connection with this
Agreement shall be tried and litigated either in the State courts located in the County of San
Bernardino, State of California or the U.S. District Court for the Central District of California,
Riverside Division. The aforementioned choice of venue is intended by the parties to be
mandatory and not permissive in nature.
13. GOVERNING LAW.
This Agreement shall be governed by the laws of the State of California.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 3
14. SUCCESSORS AND ASSIGNS.
This Agreement shall be binding on and inure to the benefit of the parties to this
Agreement and their respective heirs, representatives, successors, and assigns.
15. HEADINGS.
The subject headings of the sections of this Agreement are included for the purposes of
convenience only and shall not affect the construction or the interpretation of any of its
provisions.
16. SEVERABILITY.
If any provision of this Agreement is determined by a court of competent jurisdiction to
be invalid or unenforceable for any reason, such determination shall not affect the validity or
enforceability of the remaining terms and provisions hereof or of the offending provision in any
other circumstance, and the remaining provisions of this Agreement shall remain in full force
and effect.
17. REMEDIES; WAIVER.
All remedies available to either party for one or more breaches by the other party are and
shall be deemed cumulative and may be exercised separately or concurrently without waiver of
any other remedies. The failure of either party to act in the event of a breach of this Agreement
by the other shall not be deemed a waiver of such breach or a waiver of future breaches, unless
such waiver shall be in writing and signed by the party against whom enforcement is sought.
18. ENTIRE AGREEMENT; MODIFICATION.
This Agreement constitutes the entire agreement and the understanding between the
parties, and supersedes any prior agreements and understandings relating to the subject matter of
this Agreement, including inconsistent provisions contained in Attachment 1. This Agreement
may be modified or amended only by a written instrument executed by all parties to this
Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day
and date first above shown.
Date: Date:
INTERMEDIX CORPORATION (ADPI) CITY OF SAN BERNARDINO
By: By:
Charles McNeely, City Manager
Approved as to form:
James F. Penman, City Attorney
By:
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 4
SERVICES AGREEMENT
CITY OF SAN BERNARDINO
INTERMEDIX-ADPI
THIS AGREEMENT is entered into this 1st day of July, 2011,between INTERMEDIX
- Advanced Data Processing, Inc ("CONTRACTOR") and the CITY OF SAN BERNARDINO
("CITY)".
WITNESSETH:
A. WHEREAS, CITY has need for billing services for first responder, paramedic,
and membership program fees and,
B. WHEREAS, CONTRACTOR is competent, experienced and able to perform
said services: and,
C. WHEREAS, CONTRACTOR has provided the most advantageous and best
responsible proposal for the providing of such services;
NOW THEREFORE, the parties hereto agree as follows:
1. SCOPE OF SERVICES.
For the remuneration set forth in Paragraph 2, below, CONTRACTOR shall furnish
billing services for first responder, paramedic, and membership program fees in accordance with
Proposal Specification #F-11-15, relevant portions of which are attached hereto and incorporated
herein as Attachment 1.
2. COMPENSATION AND EXPENSES.
a. CITY shall compensate CONTRACTOR for such services an amount equal to
twenty-five percent (25%) of CONTRACTOR's net collections, in accordance with
and more specifically set forth in Attachement 1 and CONTRACTOR's Cost
Proposal, attached hereto and incorporated herein as Attachment 2.
b. CONTRACTOR shall provide City of San Bernardino Fire Dept with a monthly
invoice in arrears and shall be provided payment within thirty (30) days therefrom.
CITY retains the right to challenge all or any part of an invoice.
c. No other expenditures made by CONTRACTOR shall be reimbursed by CITY.
3. TERM; TERMINATION.
The initial term of this Agreement shall be two (2) years from the date first shown above.
This Agreement may be terminated at any time by thirty (30) days' written notice by
either party. The terms of this Agreement shall remain in force unless mutually amended. The
duration of this Agreement may be extended for three (3) additional one-year terms with the
written consent of both parties.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 1
4. INDEMNITY.
CONTRACTOR agrees to and shall indemnify and hold the City, its elected officials,
employees, agents or representatives, free and harmless from all claims, actions, damages and
liabilities of any kind and nature arising from bodily injury, including death, or property damage,
based or asserted upon any actual or alleged act or omission of CONTRACTOR, its employees,
agents, or subcontractors, relating to or in any way connected with the accomplishment of the
work or performance of services under this Agreement,unless the bodily injury or property
damage was actually caused by the sole negligence of the City, its elected officials, employees,
agents or representatives. As part of the foregoing indemnity, CONTRACTOR agrees to protect
and defend at its own expense, including attorney's fees, the City, its elected officials,
employees, agents or representatives from any and all legal actions based upon such actual or
alleged acts or omissions. CONTRACTOR hereby waives any and all rights to any types of
express or implied indemnity against the City, its elected officials, employees, agents or
representatives,with respect to third party claims against the CONTRACTOR relating to or in
any way connected with the accomplishment of the work or performance of services under this
Agreement.
5. INSURANCE.
While not restricting or limiting the foregoing, during the term of this Agreement,
CONTRACTOR shall maintain in effect policies of comprehensive public, general and
automobile liability insurance, in the amount of $1,000,000.00 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. CITY shall be set forth as
an additional named insured in each policy of insurance provided hereunder. The Certificate of
Insurance furnished to the CITY shall require the insurer to notify CITY at least 30 days prior to
any change in or termination of the policy.
6. NON-DISCRIMINATION.
In the performance of this Agreement and in the hiring and recruitment of employees,
CONTRACTOR shall not engage in, nor permit its officers, employees or agents to engage in,
discrimination in employment of persons because of their race, religion, color, national origin,
ancestry, age, mental or physical disability, medical condition, marital status, sexual gender or
sexual orientation, or any other status protected by law.
7. INDEPENDENT CONTRACTOR.
CONTRACTOR shall perform work tasks provided by this Agreement, but for all intents
and purposes CONTRACTOR shall be an independent contractor and not an agent or employee
of the CITY. CONTRACTOR shall secure, at its expense, and be responsible for any and all
payment of Income Tax, Social Security, State Disability Insurance Compensation,
Unemployment Compensation, and other payroll deductions for CONTRACTOR and its
officers, agents, and employees, and all business license, if any are required, in connection with
the services to be performed hereunder.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 2
8. BUSINESS REGISTRATION CERTIFICATE AND OTHER REQUIREMENTS.
CONTRACTOR warrants that it possesses or shall obtain, and maintain a business
registration certificate pursuant to Chapter 5 of the Municipal Code, and any other licenses,
permits, qualifications, insurance and approval of whatever nature that are legally required of
CONTRACTOR to practice its business or profession.
9. NOTICES.
Any notices 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: TO THE CONTRACTOR:
Fire Chief Michael J. Conrad and Intermedix Corporation(ADPI)
EMS Coordinator Bernard Horak 6451 North Federal Highway, Suite 1002
City of San Bernardino Fire Department Fort Lauderdale, FL 33308
200 E. Third Street
San Bernardino CA 92410
Nothing in this paragraph shall be construed to prevent the giving of notice by personal service.
10. ATTORNEYS' FEES
In the event that litigation is brought by any party in connection with this Agreement, the
prevailing party shall be entitled to recover from the opposing party all costs and expenses,
including reasonable attorneys' fees, incurred by the prevailing party in the exercise of any of its
rights or remedies hereunder or the enforcement of any of the terms, conditions or provisions
hereof. Attorneys' fees for the City Attorney and members of his office shall be calculated based
on the market rate for comparable services.
11. ASSIGNMENT.
CONTRACTOR shall not voluntarily or by operation of law assign, transfer, sublet or
encumber all or any part of the CONTRACTOR's interest in this Agreement without CITY's
prior written consent. Any attempted assignment, transfer, subletting or encumbrance shall be
void and shall constitute a breach of this Agreement and cause for the termination of this
Agreement. Regardless of CITY's consent, no subletting or assignment shall release
CONTRACTOR of CONTRACTOR's obligation to perform all other obligations to be
performed by CONTRACTOR hereunder for the term of this Agreement.
12. VENUE.
The parties hereto agree that all actions or proceedings arising in connection with this
Agreement shall be tried and litigated either in the State courts located in the County of San
Bernardino, State of California or the U.S. District Court for the Central District of California,
Riverside Division. The aforementioned choice of venue is intended by the parties to be
mandatory and not permissive in nature.
13. GOVERNING LAW.
This Agreement shall be governed by the laws of the State of California.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 3
i
14. SUCCESSORS AND ASSIGNS.
This Agreement shall be binding on and inure to the benefit of the parties to this
Agreement and their respective heirs,representatives, successors, and assigns.
15. HEADINGS.
The subject headings of the sections of this Agreement are included for the purposes of
convenience only and shall not affect the construction or the interpretation of any of its
provisions.
16. SEVERABILITY.
If any provision of this Agreement is determined by a court of competent jurisdiction to
be invalid or unenforceable for any reason, such determination shall not affect the validity or
enforceability of the remaining terms and provisions hereof or of the offending provision in any
other circumstance, and the remaining provisions of this Agreement shall remain in full force
and effect.
17. REMEDIES; WAIVER.
All remedies available to either party for one or more breaches by the other party are and
shall be deemed cumulative and may be exercised separately or concurrently without waiver of
any other remedies. The failure of either party to act in the event of a breach of this Agreement
by the other shall not be deemed a waiver of such breach or a waiver of future breaches, unless
such waiver shall be in writing and signed by the party against whom enforcement is sought.
18. ENTIRE AGREEMENT; MODIFICATION.
This Agreement constitutes the entire agreement and the understanding between the
parties, and supersedes any prior agreements and understandings relating to the subject matter of
this Agreement, including inconsistent provisions contained in Attachment 1. This Agreement
may be modified or amended only by a written instrument executed by all parties to this
Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day
I and date first above shown.
Date: Date:
INTERMEDIX CORPORATION (ADPI) CITY OF SAN BERNARDINO
By: By:
Charles McNeely, City Manager
Approved as to form:
James F. Penman, City Attorney
By:
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 4
4.ti_achmen.t 1
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SAN BERNARDINO CITY FIRE DEPARTMENT
jEMERGENCY MEDICAL SERVICES (EMS) BILLING SERVICES
REQUEST FOR PROPOSAL
RFP F-11-15
OVERVIEW AND BACKGROUND
City of San Bernardino has a population of 210,000 and generates approximately 18,000 EMS
calls annually. The City anticipates a growth rate of approximately two (2 %) percent per year of
EMS calls for service. San Bernardino City Fire Department responds to these EMS calls,
providing paramedic first-response, non-transport services. A flat fee charge of$200 is billed to
the patient for all medical aid responses. The City does bill for non-transports where the patient
is treated and released, at the same flat fee as indicated above. However we do not breakdown
the cost or number of treat and release claims that were paid in any given year. "Low-income"
residents (as determined by the City Finance Department) are exempted by City Council action
from the EMS response fee. The City now allow billing of those patients 65 years and older.
However, Medicare does not allow billing for EMS non-transport services,
Major receiving hospitals are: St. Bernadine's Medical Center (CH'W); Community Hospital of
San Bernardino (CH1W); Loma Linda University Medical Center; and Arrowhead Regional
Medical Center (San Bernardino County Hospital.)
The City Fire Department also offers a subscription membership program to City of San
Bernardino residents. The program is designed to assist our city residents by providing them a.
means of capping the cost of Fire Department Paramedic EMS response at a low and
predictable amount. Subscribers are not billed for Fire Department EMS response. A
subscription membership is sold to a household, covering family members that reside in that
household. The City has an annual membership fee of$24.00. There are currently
approximately 1000 families enrolled in our subscription program, and it is an annual
membership, from July 151—June 30`h, based on the City of San Bernardino's Fiscal Year cycle.
The Billing Service contractor notifies the members each year to renew their subscription. The
Billing Service Contractor shall also conduct a mailing of the subscription brochure to city
residents, annually in the spring of each year to notify residents of the availability and benefits
of the subscription program.
The billing process is initiated when the Fire Department paramedics provide Emergency
Medical Care to include assessment and treatment. Patient information is collected on our
EMS Patient Care Report (PCR) either on a paper form, or in an electronic data collection
system. This information is reviewed for accuracy and completeness and foRuarded to the
Billing Service contractor to generate the EMS response bill and collection. Our current overall
collection rate is over 10% with a combination payer mix as listed below:
Private Insurance- 13%
Self/private pay- 87%
9
RFil F-I1-I5
EMS 13i111ne
Customer disputes may be referred to the City Fire Department's EMS Coordinator for final
resolution.
i
SCOPE OF WORK
Provide Billing Services to the City of San Bernardino Fire Dept. for Emergency Medical
Services (EMS) response, and subscription fees.
Contract Transition:
Explain how your firm would handle the transition from the existing contract to the
new contract if your firm were the successful vendor. Specifically address how your
firm would provide, in a timely manner, the contract deliverables listed, Scope of
Contract Work. A smooth continuation of billing and collection services must be
provided so that the City can deliver uninterrupted, efficient service to its citizens
and can maintain its standard of revenue from accounts received.
Preliminary Work Plan:
Describe the phases into which the contract logically can be divided and performed.
This narrative should provide an overview of the tasks for each part of the contract.
List the equipment your firm would employ. State how much lead time, if any, your
firm would need to adapt to this system once the contract is awarded. Explain what
preparations would be undertaken during the lead time. Describe the maintenance
support your automated system would have.
Proposed Time-Table for Deliverables during the First Year:
Provide a proposed timetable for all contract activities addressed in the Preliminary
Work Plan which must occur from the date of contract award and throughout the first
contract year.
Customization of Services for the City of San Bernardino:
Explain the factors your firm will consider in tailoring the billing and collection
services to the needs of City employees and the City's EMS users. Note any
modifications to your standard billing and collection services that will be undertaken
to ensure that this contract is customized to the special requirements of the City of
San Bernardino.
Performance Methods:
Address the following-
Intake Procedures: Describe the procedures for importing, receiving and
processing the Patient Care Report information from the Fire Department
Private Insurance Accounts: Describe the procedures for billing private
insurance companies. Detail the procedures for handling rejected claims.
RF11 F-11-I5
]:%Is 111 ling
Self Pay Accounts: Describe the procedures for billing individual users,
including how your firm would produce, print and send bills and notices. As an
exhibit to this item, provide samples of correspondence, bills, notices and envelopes
your firm would use. Describe the procedures for handling bills returned by the
Postal Service as undeliverable, including what efforts will be taken to pursue those
accounts.
Insufficient Information and Uncollectible Accounts: Describe what actions
your firm would take before declaring an account as having insufficient information
or being uncollectible. Describe the procedures for obtaining supplemental billing
information.
Account Services:
Describe all controls that would be established to insure an accurate accounting of
ambulance fee payments or any other forms of payment, i.e. credit cards and/or
internet. Note the location where payments would be mailed and/or delivered in
person. Detail the procedure for accepting and processing payments both by mail
and in person. In this section, describe all bookkeeping procedures to be used.
Also describe all other records your firm must keep, such as files, books and
documents. As an exhibit to this item, provide a sample of the monthly invoice to be
sent to the Fire Department for services rendered.
Customer Service:
Describe the procedures and controls that your firm will use to respond to, and to
resolve inquiries, complaints and requests for account information from users,
insurance companies, lawyers and others. Describe where this function would be
performed and by whom. Explain how your firm would keep the City informed of the
number and types of complaints received. Describe the timeliness and methods for
responding to City requests. Describe service to those customers of the City with
particular emphasis on the following:
• Ability to provide live telephone support via local and long-distance toll-free
numbers
• Days and hours that telephone support is available
• Availability of a bilingual (English/Spanish) speaking staff
• Policies and procedures on handling investigation of errors and
discrepancies, patient information updates, and disclosure of policies
regarding potential discounts, refunds, payments, etc.
• Timeliness of posting of payments. distribution of statements and refunds,
and patient notification as to account change of status or resolution of issues.
Management Reports:
Describe all information your firm would include on monthly management reports,
and how it would be derived. Describe the quality controls you would use to ensure
accuracy of reporting. Include discussion of preformatted standardized forms;
flexible reporting capabilities {including ability for City to create new reports and/or
modify existing standardized reports; and report modification and data retrieval.
Demonstrated knowledge of and compliance with:
it
R17p 1'-I I-15
EMS[iillinL
• Health Insurance Portability and Accountability Act (HIPAA)
= Health Care Financing Administration (HCFA) Regulations
• Reports showing clear audit trails in accordance with Generally Accepted
Accounting Practices.
COST PROPOSAL
The vendor shall submit a proposal based on a percentage of monies collected. The cost
proposal must contain data to support the proposed charges. The proposed charges
must be stated for each of the following accounts`
• Private Insurance
• Self Pay Accounts
• Paramedic Subscription Renewal
• Miscellaneous Other Costs
• Vendor shall identify and provide the costs for any additional charges that
j may become billable to the City, which have not been identified above.
Any increase or extra cost for billing services during the term of this contract will require
i agreement from both parties. Once agreement has been reached, a new contract with
the amendments will require final approval from City Council.
Vendor shall provide the City with a monthly invoice in arrears for compensation. The
City will provide payment to vendor within thirty (30) days of receipt of billing from vendor.
The City will retain the right to challenge all or any part of an invoice.
Vendor understands that if there is a substantial drop in collections, City is requiring a
formal communication of the decline, the potential reason for the decline, and
recommendations to correct the problem.
INNOVATION
i
Substantial consideration will be given to a vendor that employs innovative methods for
increasing revenue collection that reflect advances in technology or collection strategies.
Vendor shall outline such strategies or technologies and provide examples of how their
use improved revenue collection for specific agencies.
ADDITIONAL INFORMATION
r
Information not specifically requested in the foregoing sections but which is considered
essential to the proposal may be presented in this section. Some suggestions of
additional information include, but are not limited to, copies of relevant media reprints and
f
promotional brochures of your firm.
i
12
i
RITF-II-Ii
LNIS 1-111h1q,
BILLING SERVICES
The successful vendor shall provide billing services as outlined below:
Data Collection:
The vendor must be capable of interfacing with Healthware Solutions software. Additionally, the
{ vendor must be able to exchange data with the City's data collection server. The vendor shall
be in compliance with all applicable HIPPA regulations and directives. If the City changes
software as a result of the regional EMS Agency's mandate or funding, the billing vendor shall
make accommodations to accept data from the new software.
HIPPA:
The vendor must be in compliance with all current applicable HIPPA regulations and directives.
Collections:
Vendor will prepare all invoices and follow-up mailings. Initial invoicing occurs within five (5)
days of receipt of EMS PCR or data. A Toll Free 800 telephone number will be provided to
patients. An initial telephone call will also be made at this time to elicit any insurance
information from the patient or patient's family. If no answer on the call, vendor will send an
inquiry letter in addition to the initial invoice.
The vendor shall prepare and mail invoices collected from the EMS response data on the
following schedule:
Initial Invoice Within 5 working days of receipt of PCR data
Second Notice 30 days
Past Due Notice 45 days
Demand for Payment 75 days
Collections Notice 90 days
Workers' Compensation and Private Insurance:
Vendor will bill private insurance, supplemental insurance, secondary insurance and Workers'
Compensation billed according to specific requirements. Electronic billing of insurance
companies is performed where appropriate. The successful bidder will perform any
correspondence for additional information or follow up necessary to secure insurance
payments.
Follow-up Work:
The vendor shall provide all follow-up work required to collect insurance payments, including
additional correspondence and telephone calls. The vendor shall establish relationships with
the local hospitals in order to obtain "face sheets" that will provide billing information and
provide a higher collection rate. The vendor shall log all contact and follow-up work in the
{ patient's account ledger.
EMS Paramedic Subscription Membership Program:
The vendor shall be responsible for administering the Paramedic Subscription Membership
Program. The vendor will solicit and maintain new membership subscriptions and bill
subscribers for annual renewal.
I?
1
RIT F-I)-I�
ENIS 131161)e
Delinquent Accounts:
Patients with claims aging over 45 days will be contacted by telephone for payment
arrangements. Telephone follow up will continue until payment in full is received or
account is dismissed by the City to an outside collection agency. The vendor will utilize
installment billing in cases of financial hardship.
Vendor must submit a monthly Summary Report of collection methods including, but
not limited to:
• A variety of bills and statements
• Delinquent notices
• Telephone follow-up calls
• Additional correspondence with the patient
• Correspondence with Third Party Payers
• Any additional criteria necessary to deem accounts uncollectible
The vendor shall note the type of contact. Such as telephone call, or correspondence with the
patient or insurance carrier. The vendor shall note on the patient's record the date and
information obtained from the contact person. Information such as "mail returned" or"phone
disconnected", shall also be notated. The vendor shall indicate "Delinquent Notice" on their
statements, and also include a statement that if there is no response that the overdue account
will be referred to collections.
On a monthly basis, the vendor shall provide an electronic and /or written documentation to the
City indicating all delinquent accounts. The report will include the date of the EMS response,
name of employer(if applicable), reason the account is uncollected, proof and dates of the
vendors attempts to collect on the account, reason for non-collection and final resolution.
Accounts over 90 days past due:
Vendor will refer to the City all cash accounts that are over 90 days past due. The vendor will
also provide the City an electronic and/or copy of all documentation of contact as specified
above and a recommendation for collection or write-off.
Upon approval and direction by the City, the vendor shall reference in the billing history; the
date account is written-off and reference the collection agency assigned to account. The
vendor will then return to the City the accounts to be assigned to an outside collection agency
Receipt of Funds:
The vendor will collect and log into departmental receipt all funds collected as a result of
services provided by the City within two (2) days of receipt. These receipts will be logged by
the vendor and delivered to the City by mail/courier. A detailed report will be issued to the city
monthly showing all payments, refunds, adjustments, and balances.
Reports & Reporting Requirements:
Monthly, the successful bidder will perform accurate month end close procedures, which
will result in the following reports:
+ Monthly Ticket Survey
14
R1:11 -I1-I5
LNIS 13111in,
Monthly Sales Journal
• Monthly Cash Receipts Journal
= Monthly Receivables Aging
• Management A/R Analysis
Statistical Reports customized to client needs
At startup, system must provide weekly, month-to-date and year-to-date accounts
receivable reports. Month-to-date and year-to-date reports must show a full account of
month or year's activities. These reports shall include: total transactions billed, total write-
offs, total refunds, total payments received, and breakdown of payments by source.
Accounts receivable reports must show all payments and adjustments per account.
Vendor must provide monthly reports of aging accounts receivable and aging receipts.
All reports must show clear audit trails and be in accordance with Generally Accepted
Accounting Practices.
CITY RESPONSIBILITIES
Submit necessary EMS patient information, including pay source information,
when available, to the vendor for billing purposes.
= Notify the vendor of any accounts that require special attention.
= Obtain signature of patient or responsible party/guardian when available.
= Provide patient's Social Security Number when available.
INDEMNIFICATION
The vendor shall indemnify, defend and hold the City, its officers, employees, and agents
harmless from any claim, demand, liability, suit,judgement, or expense (including, without
limitation, reasonable costs of defense) arising out of or related to the vendor'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 the City's willful misconduct or sole negligence.
The costs, salary, and expenses of the City Attorney and members of his office in enforcing this
agreement on behalf of the City shall be considered as "attorney's fees"for the purposes of this
paragraph.
INSURANCE
While not restriction or limiting the foregoing, during the term of this agreement, the vendor shall
maintain in 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) days notification to the City if said policies are terminated or materially
altered.
1�
RHI F-1 1-15
1.1.15 I.f ffinu
INDEPENDENT CONTRACTOR
The vendor shall perform work tasks as directed by the Fire Chief or designee, but for all intent
and purposes, the vendor shall be an independent contractor and not an agent or employee of
the City.
! NOTIFICATION OF TERMINATION
In the event the City exercises the right to terminate the contract for dissatisfaction, the City will
give the vendor five (5) days written notice of such termination.
The City of San Bernardino and the Vendor each reserve the right to cancel, for any reason, all
or any portion of the services covered by this agreement. To exercise this right, a thirty (30)
day written notice must be given.
CONTRACT COMPLIANCE
Contractors must comply with the provisions of the Equal Employment Opportunity Program of
the County of San Bernardino and rules and regulations adopted pursuant thereto. Executive
Orders 11246, 11375, 11625, 121380, 12432, 121380, 12432, 12250, Title VII of the Civil
Rights Act of 1964, the California Fair Employment Practice Act, and other applicable Federai
State, and County laws, regulations, and policies relating to equal employment and contracting
opportunities, including laws and regulations hereafter enacted.
PARTICIPATION
The City desires that Municipalities, School Districts, and other Tax Districts within the County
of San Bernardino requiring paramedic billing services may at their option and through the City
Purchasing Manager, avail themselves of the contract resulting from this proposal. Upon
notice, in writing, the Vendor agrees to the extension of the terms of a resultant contract with
such Governmental bodies as though they have been expressly identified in this proposal, with
the proviso that:
a. Such Government body does not have and will not have in force any other contract for
like purchases;
b. Such Government body does not have under consideration for award any other
proposals or quotations for like purchases;
c. Such Governmental body shall make purchases through the Contractor, and make
payment directly to the Contractor.
TERM OF AGREEMENT
The agreement shall be for a period of two (2)years, beginning July 1, 2011 through June 30,
2013, with three (3)one-year renewal options based on satisfactory performance, at the City's
16
EMS BiNiag
discretion and/or for City requirements. The City of San Bernardino Fiscal year begins July 1't
and ends June 30th of each year.
FORMAL AGREEMENT
Vendor will be required to enter into a formal agreement with the City. This RFP sets forth
some of the general provisions which will be included in the final Agreement. In submitting a
response to this RFP. Contractor will be deemed to have agreed to each clause unless the
proposal identifies an objection and City agrees to a change of language in writing.
1
i
i
i
17
4ttachmznt Z
inter edix
i
r
1
Proposal for
Emergency Medical Services Billing
COST PROPOSAL
March 17, 201- 1 - 3:40 p.m. Local Time
RFP#: F-11-15
Submitted to
The City of San Bernardino Finance Department
City of Sati Betl udino
Finance Depaament
PU.l'Cl acing Diti%1S1()I1
300 N. "M Street, 4"' Floor
San Bernardino, CA 92418
Cur..y.,ight x'7.0 2 by Intermedix
AU!;;guts ReserVed
l'dwvv.i;)Ie.ri -AxI-OX11
RFPN:F-11-15 EMERCENCi MEDICAL SERVICES BILLING
Cost Proposed
Our coat proposal is an "all inclusive" price for the Intermedix FMS billing, collection and subscription
program services for First Responder Services provided by the City of San€ernardino's Fire Department.
First Responder Billing, Collection and Subscription Services
Fee- 75,nnO/of Npt rollections*
'Net Collections is defined as Total Cash Collections, Less Refunds
The price bid herein shall include all expenses of billing and collection including, but not limited to,
stationery,forms,envelopes,postage,and phone facilities.
Credit card fees(gerneraliy 2.590 of amount charged)far processirng patient payment via credit card
occotint are netted wiii poyawnt arnount if the City elects to accept credit card poym ents,
it you should have any further questions concerning the contents of this proposal or any other issues we
can help clarify, please do riot hesitate to contact Dennis Murry, Director of Business Development at
530-626-7013. Again, thank you, and we look forward to the opportunity to continue our relationship
with the City,
s:2Cllllntern,c•dix -------_ ____�
RESOLUTION NO.
1 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
2 SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT
AND ISSUANCE OF AN ANNUAL PURCHASE ORDER TO
3 INTERMEDIX/ADVANCED DATA PROCESSING, INC. TO PROVIDE BILLING
SERVICES FOR FIRST RESPONDER, PARAMEDIC, AND MEMBERSHIP
4 PROGRAM FEES.
5 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF
6 SAN BERNARDINO AS FOLLOWS:
7 SECTION 1. Intermedix/Advanced Data Processing, c., is the best responsible
8 bidder to provide billing services for first responder, par a edic, and membership program
9 fees, in accordance with Bid Specification#F-11-15;
10 SECTION 2. The City Manager is hereby a orized and directed to execute on behalf
11 of City a Services Agreement with Intermedi Advanced Data Processing, Inc., a copy of
12 which is attached hereto, marked Exhibit and incorporated herein by reference as though
13 fully set forth at length;
14
SECTION 3. Said agreement ill be for EMS billing collection services for the period
15
of July 1, 2011 through June 30, 013, with three one-year renewal options; therefore, any
16
action taken between July 11 011 and the date that the agreement is executed is hereby
17
ratified.
18
19 SECTION 4. The urchasing Manager is authorized to issue an annual purchase order
20 to Intermedix/Advance Data Processing, -.r is for two years with
21 the option of three o -year extensions. A Q N AL. d;
22 SECTION . The Intermedix/Adv annual Purchase Order
23
shall incorporate y reference this Resolu -11-15 and shall be in
24
an amount equaA to 25% of net revenue collected, as set forth in Exhibit"A."
25 1/
SECTION 6. The authorization to execute the above referenced Agreement and
26
27 Annual Purchase Order is rescinded if the parties to the Agreement fail to execute it within
28 sixty(60) days of the passage of this Resolution.
//// 1
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT AND
1 ISSUANCE OF AN ANNUAL PURCHASE ORDER TO INTERMEDIX/ADVANCED
DATA PROCESSING, INC. TO PROVIDE BILLING SERVICES
2
3 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor and
4 Common Council of the City of San Bernardino at a meeting thereof, held on
5 the day of 2011,by the following vote,to wit:
6
7
COUNCIL MEMBERS: AYES NAYS ABSTAIN ABSENT
8
9 MARQUEZ
10
VACANT
11
BRINKER
12
13 SHORETT
14 KELLEY
15 JOHNSON
16 MCCAMMACK
17
18 Rachel G. Clark, City Clerk
City of San Bernardino
19
20 The forego' g Resolution is hereby approved this day of , 2011.
21
22
Patrick J. Morris, Mayor
City of San Bernardino
24 Approved ad to form:
25 7
JAMES F!PENMAN, City Attorney
26
27 By:
28
2
Exhibit A
SERVICES AGREEMENT
CITY OF SAN BERNARDINO
INTERMEDIX-ADPI
THIS AGREEMENT is entered into this 1 st day of July, 2011,between INTERMEDIX
- Advanced Data Processing, Inc ("CONTRACTOR") and the CITY OF SAN BERNARDINO
("CITY)".
WITNESSETH:
A. WHEREAS, CITY has need for billing services for first responder, paramedic,
and membership program fees and,
B. WHEREAS, CONTRACTOR is competent, experienced and able to perform
said services: and,
C. WHEREAS, CONTRACTOR has provided the most advantageous and best
responsible proposal for the providing of such services;
NOW THEREFORE, the parties hereto agree as follows:
1. SCOPE OF SERVICES.
For the remuneration set forth in Paragraph 2, below, CONTRACTOR shall furnish
billing services for first responder, paramedic, and membership program fees in accordance with
Proposal Specification#F-11-15, relevant portions of which are attached hereto and incorporated
herein as Attachment 1.
2. COMPENSATION AND EXPENSES.
a. CITY shall compensate CONTRACTOR for such services an amount equal to
twenty-five percent (25%) of CONTRACTOR's net collections, in accordance with
and more specifically set forth in Attachement 1 and CONTRACTOR's Cost
Proposal, attached hereto and incorporated herein as Attachment 2.
b. CONTRACTOR shall provide City of San Bernardino Fire Dept with a monthly
invoice in arrears and shall be provided payment within thirty (30) days therefrom.
CITY retains the right to challenge all or any part of an invoice.
c. No other expenditures made by CONTRACTOR shall be reimbursed by CITY.
3. TERM; TERMINATION.
The initial term of this Agreement shall be two (2) years from the date first shown above.
This Agreement may be terminated at any time by thirty (30) days' written notice by
either party. The terms of this Agreement shall remain in force unless mutually amended. The
duration of this Agreement may be extended for three (3) additional one-year terms with the
written consent of both parties.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 1
4. INDEMNITY.
CONTRACTOR agrees to and shall indemnify and hold the City, its elected officials,
employees, agents or representatives, free and harmless from all claims, actions, damages and
liabilities of any kind and nature arising from bodily injury, including death, or property damage,
based or asserted upon any actual or alleged act or omission of CONTRACTOR, its employees,
agents, or subcontractors, relating to or in any way connected with the accomplishment of the
work or performance of services under this Agreement, unless the bodily injury or property
damage was actually caused by the sole negligence of the City, its elected officials, employees,
agents or representatives. As part of the foregoing indemnity, CONTRACTOR agrees to protect
and defend at its own expense, including attorney's fees, the City, its elected officials,
employees, agents or representatives from any and all legal actions based upon such actual or
alleged acts or omissions. CONTRACTOR hereby waives any and all rights to any types of
express or implied indemnity against the City, its elected officials, employees, agents or
representatives,with respect to third party claims against the CONTRACTOR relating to or in
any way connected with the accomplishment of the work or performance of services under this
Agreement.
5. INSURANCE.
While not restricting or limiting the foregoing, during the term of this Agreement,
CONTRACTOR shall maintain in effect policies of comprehensive public, general and
automobile liability insurance, in the amount of $1,000,000.00 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. CITY shall be set forth as
an additional named insured in each policy of insurance provided hereunder. The Certificate of
Insurance furnished to the CITY shall require the insurer to notify CITY at least 30 days prior to
any change in or termination of the policy.
6. NON-DISCRIMINATION.
In the performance of this Agreement and in the hiring and recruitment of employees,
CONTRACTOR shall not engage in, nor permit its officers, employees or agents to engage in,
discrimination in employment of persons because of their race, religion, color, national origin,
ancestry, age, mental or physical disability, medical condition, marital status, sexual gender or
sexual orientation, or any other status protected by law.
7. INDEPENDENT CONTRACTOR.
CONTRACTOR shall perform work tasks provided by this Agreement, but for all intents
and purposes CONTRACTOR shall be an independent contractor and not an agent or employee
of the CITY. CONTRACTOR shall secure, at its expense, and be responsible for any and all
payment of Income Tax, Social Security, State Disability Insurance Compensation,
Unemployment Compensation, and other payroll deductions for CONTRACTOR and its
officers, agents, and employees, and all business license, if any are required, in connection with
the services to be performed hereunder.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 2
8. BUSINESS REGISTRATION CERTIFICATE AND OTHER REQUIREMENTS.
CONTRACTOR warrants that it possesses or shall obtain, and maintain a business
registration certificate pursuant to Chapter 5 of the Municipal Code, and any other licenses,
permits, qualifications, insurance and approval of whatever nature that are legally required of
CONTRACTOR to practice its business or profession.
9. NOTICES.
Any notices 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: TO THE CONTRACTOR:
Fire Chief Michael J. Conrad and Intermedix Corporation (ADPI)
EMS Coordinator Bernard Horak 6451 North Federal Highway, Suite 1002
City of San Bernardino Fire Department Fort Lauderdale, FL 33308
200 E. Third Street
San Bernardino CA 92410
Nothing in this paragraph shall be construed to prevent the giving of notice by personal service.
10. ATTORNEYS' FEES
In the event that litigation is brought by any party in connection with this Agreement, the
prevailing party shall be entitled to recover from the opposing party all costs and expenses,
including reasonable attorneys' fees, incurred by the prevailing party in the exercise of any of its
rights or remedies hereunder or the enforcement of any of the terms, conditions or provisions
hereof. Attorneys' fees for the City Attorney and members of his office shall be calculated based
on the market rate for comparable services.
11. ASSIGNMENT.
CONTRACTOR shall not voluntarily or by operation of law assign, transfer, sublet or
encumber all or any part of the CONTRACTOR's interest in this Agreement without CITY's
prior written consent. Any attempted assignment, transfer, subletting or encumbrance shall be
void and shall constitute a breach of this Agreement and cause for the termination of this
Agreement. Regardless of CITY's consent, no subletting or assignment shall release
CONTRACTOR of CONTRACTOR's obligation to perform all other obligations to be
performed by CONTRACTOR hereunder for the term of this Agreement.
12. VENUE.
The parties hereto agree that all actions or proceedings arising in connection with this
Agreement shall be tried and litigated either in the State courts located in the County of San
Bernardino, State of California or the U.S. District Court for the Central District of California,
Riverside Division. The aforementioned choice of venue is intended by the parties to be
mandatory and not permissive in nature.
13. GOVERNING LAW.
This Agreement shall be governed by the laws of the State of California.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 3
14. SUCCESSORS AND ASSIGNS.
This Agreement shall be binding on and inure to the benefit of the parties to this
Agreement and their respective heirs, representatives, successors, and assigns.
15. HEADINGS.
The subject headings of the sections of this Agreement are included for the purposes of
convenience only and shall not affect the construction or the interpretation of any of its
provisions.
16. SEVERABILITY.
If any provision of this Agreement is determined by a court of competent jurisdiction to
be invalid or unenforceable for any reason, such determination shall not affect the validity or
enforceability of the remaining terms and provisions hereof or of the offending provision in any
other circumstance, and the remaining provisions of this Agreement shall remain in full force
and effect.
17. REMEDIES; WAIVER.
All remedies available to either party for one or more breaches by the other party are and
shall be deemed cumulative and may be exercised separately or concurrently without waiver of
any other remedies. The failure of either party to act in the event of a breach of this Agreement
by the other shall not be deemed a waiver of such breach or a waiver of future breaches, unless
such waiver shall be in writing and signed by the party against whom enforcement is sought.
18. ENTIRE AGREEMENT; MODIFICATION.
This Agreement constitutes the entire agreement and the understanding between the
parties, and supersedes any prior agreements and understandings relating to the subject matter of
this Agreement, including inconsistent provisions contained in Attachment 1. This Agreement
may be modified or amended only by a written instrument executed by all parties to this
Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day
and date first above shown.
Date: Date:
INTERMEDIX CORPORATION (ADPI) CITY OF SAN BERNARDINO
By: By:
Charles McNeely, City Manager
Approved as to form:
James F. Penman, City Attorney
By:
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 4
SERVICES AGREEMENT
CITY OF SAN BERNARDINO
INTERMEDIX-ADPI
THIS AGREEMENT is entered into this 1st day of July, 2011, between INTERMEDIX
- Advanced Data Processing, Inc ("CONTRACTOR") and the CITY OF SAN BERNARDINO
("CITY)".
i
WITNESSETH:
A. WHEREAS, CITY has need for billing services for first responder, paramedic,
and membership program fees and,
B. WHEREAS, CONTRACTOR is competent, experienced and able to perform
said services: and,
C. WHEREAS, CONTRACTOR has provided the most advantageous and best
responsible proposal for the providing of such services;
NOW THEREFORE, the parties hereto agree as follows:
1. SCOPE OF SERVICES.
For the remuneration set forth in Paragraph 2, below, CONTRACTOR shall furnish
billing services for first responder, paramedic, and membership program fees in accordance with
Proposal Specification#F-11-15, relevant portions of which are attached hereto and incorporated
herein as Attachment 1.
2. COMPENSATION AND EXPENSES.
a. CITY shall compensate CONTRACTOR for such services an amount equal to
twenty-five percent (25%) of CONTRACTOR's net collections, in accordance with
and more specifically set forth in Attachement 1 and CONTRACTOR's Cost
Proposal, attached hereto and incorporated herein as Attachment 2.
b. CONTRACTOR shall provide City of San Bernardino Fire Dept with a monthly
invoice in arrears and shall be provided payment within thirty (30) days therefrom.
CITY retains the right to challenge all or any part of an invoice.
c. No other expenditures made by CONTRACTOR shall be reimbursed by CITY.
3. TERM; TERMINATION.
The initial term of this Agreement shall be two (2) years from the date first shown above.
This Agreement may be terminated at any time by thirty (30) days' written notice by
either party. The terms of this Agreement shall remain in force unless mutually amended. The
duration of this Agreement may be extended for three (3) additional one-year terms with the
written consent of both parties.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 1
i
4. INDEMNITY.
CONTRACTOR agrees to and shall indemnify and hold the City, its elected officials,
employees, agents or representatives, free and harmless from all claims, actions, damages and
liabilities of any kind and nature arising from bodily injury, including death, or property damage,
based or asserted upon any actual or alleged act or omission of CONTRACTOR, its employees,
agents, or subcontractors, relating to or in any way connected with the accomplishment of the
work or performance of services under this Agreement, unless the bodily injury or property
damage was actually caused by the sole negligence of the City, its elected officials, employees,
agents or representatives. As part of the foregoing indemnity, CONTRACTOR agrees to protect
and defend at its own expense, including attorney's fees, the City, its elected officials,
employees, agents or representatives from any and all legal actions based upon such actual or
alleged acts or omissions. CONTRACTOR hereby waives any and all rights to any types of
express or implied indemnity against the City, its elected officials, employees, agents or
representatives,with respect to third party claims against the CONTRACTOR relating to or in
any way connected with the accomplishment of the work or performance of services under this
Agreement.
5. INSURANCE.
While not restricting or limiting the foregoing, during the term of this Agreement,
CONTRACTOR shall maintain in effect policies of comprehensive public, general and
automobile liability insurance, in the amount of $1,000,000.00 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. CITY shall be set forth as
an additional named insured in each policy of insurance provided hereunder. The Certificate of
Insurance furnished to the CITY shall require the insurer to notify CITY at least 30 days prior to
any change in or termination of the policy.
6. NON-DISCRIMINATION.
In the performance of this Agreement and in the hiring and recruitment of employees,
CONTRACTOR shall not engage in, nor permit its officers, employees or agents to engage in,
discrimination in employment of persons because of their race, religion, color, national origin,
ancestry, age, mental or physical disability, medical condition, marital status, sexual gender or
sexual orientation, or any other status protected by law.
7. INDEPENDENT CONTRACTOR.
CONTRACTOR shall perform work tasks provided by this Agreement, but for all intents
and purposes CONTRACTOR shall be an independent contractor and not an agent or employee
of the CITY. CONTRACTOR shall secure, at its expense, and be responsible for any and all
payment of Income Tax, Social Security, State Disability Insurance Compensation,
Unemployment Compensation, and other payroll deductions for CONTRACTOR and its
officers, agents, and employees, and all business license, if any are required, in connection with
the services to be performed hereunder.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 2
8. BUSINESS REGISTRATION CERTIFICATE AND OTHER REQUIREMENTS.
CONTRACTOR warrants that it possesses or shall obtain, and maintain a business
registration certificate pursuant to Chapter 5 of the Municipal Code, and any other licenses,
permits, qualifications, insurance and approval of whatever nature that are legally required of
CONTRACTOR to practice its business or profession.
9. NOTICES.
Any notices 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: TO THE CONTRACTOR:
Fire Chief Michael J. Conrad and Intermedix Corporation (ADPI)
EMS Coordinator Bernard Horak 6451 North Federal Highway, Suite 1002
City of San Bernardino Fire Department Fort Lauderdale, FL 33308
200 E. Third Street
San Bernardino CA 92410
Nothing in this paragraph shall be construed to prevent the giving of notice by personal service.
10. ATTORNEYS' FEES
In the event that litigation is brought by any party in connection with this Agreement, the
prevailing party shall be entitled to recover from the opposing party all costs and expenses,
including reasonable attorneys' fees, incurred by the prevailing party in the exercise of any of its
rights or remedies hereunder or the enforcement of any of the terms, conditions or provisions
hereof. Attorneys' fees for the City Attorney and members of his office shall be calculated based
on the market rate for comparable services.
11. ASSIGNMENT.
CONTRACTOR shall not voluntarily or by operation of law assign, transfer, sublet or
encumber all or any part of the CONTRACTOR's interest in this Agreement without CITY's
prior written consent. Any attempted assignment, transfer, subletting or encumbrance shall be
void and shall constitute a breach of this Agreement and cause for the termination of this
Agreement. Regardless of CITY's consent, no subletting or assignment shall release
CONTRACTOR of CONTRACTOR's obligation to perform all other obligations to be
performed by CONTRACTOR hereunder for the term of this Agreement.
12. VENUE.
The parties hereto agree that all actions or proceedings arising in connection with this
Agreement shall be tried and litigated either in the State courts located in the County of San
Bernardino, State of California or the U.S. District Court for the Central District of California,
Riverside Division. The aforementioned choice of venue is intended by the parties to be
mandatory and not permissive in nature.
13. GOVERNING LAW.
This Agreement shall be governed by the laws of the State of California.
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 3
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14. SUCCESSORS AND ASSIGNS.
This Agreement shall be binding on and inure to the benefit of the parties to this
Agreement and their respective heirs,representatives, successors, and assigns.
15. HEADINGS.
The subject headings of the sections of this Agreement are included for the purposes of
convenience only and shall not affect the construction or the interpretation of any of its
provisions.
16. SEVERABILITY.
If any provision of this Agreement is determined by a court of competent jurisdiction to
be invalid or unenforceable for any reason, such determination shall not affect the validity or
enforceability of the remaining terms and provisions hereof or of the offending provision in any
other circumstance, and the remaining provisions of this Agreement shall remain in full force
and effect.
17. REMEDIES; WAIVER.
All remedies available to either party for one or more breaches by the other party are and
shall be deemed cumulative and may be exercised separately or concurrently without waiver of
any other remedies. The failure of either party to act in the event of a breach of this Agreement
by the other shall not be deemed a waiver of such breach or a waiver of future breaches, unless
such waiver shall be in writing and signed by the party against whom enforcement is sought.
18. ENTIRE AGREEMENT; MODIFICATION.
This Agreement constitutes the entire agreement and the understanding between the
parties, and supersedes any prior agreements and understandings relating to the subject matter of
this Agreement, including inconsistent provisions contained in Attachment 1. This Agreement
may be modified or amended only by a written instrument executed by all parties to this
Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day
and date first above shown.
Date: Date:
INTERMEDIX CORPORATION (ADPI) CITY OF SAN BERNARDINO
By: By:
Charles McNeely, City Manager
Approved as to form:
James F. Penman, City Attorney
By:
SB Fire/Intermedix-ADPI Agreement
FYs 2011/12—2012/13 4
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Rttachmea.t �
RFP F-11-I5
EMS Billing
I SAN BERNARDINO CITY FIRE DEPARTMENT
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EMERGENCY MEDICAL SERVICES (EMS) BILLING SERVICES
REQUEST FOR PROPOSAL
RFP F-11-15
OVERVIEW AND BACKGROUND
City of San Bernardino has a population of 210,000 and generates approximately 18,000 EMS
calls annually. The City anticipates a growth rate of approximately two (2 %) percent per year of
EMS calls for service. San Bernardino City Fire Department responds to these EMS calls,
providing paramedic first-response, non-transport services. A flat fee charge of$200 is billed to
the patient for all medical aid responses. The City does bill for non-transports where the patient
is treated and released, at the same flat fee as indicated above. However we do not breakdown
the cost or number of treat and release claims that were paid in any given year. "Low-income"
I residents (as determined by the City Finance Department) are exempted by City Council action
from the EMS response fee. The City now allow billing of those patients 65 years and older.
However, Medicare does not allow billing for EMS non-transport services.
Major receiving hospitals are: St. Bernadine's Medical Center (CHW); Community Hospital of
San Bernardino (CHW); Loma Linda University Medical Center; and Arrowhead Regional
Medical Center(San Bernardino County Hospital.)
The City Fire Department also offers a subscription membership program to City of San
Bernardino residents. The program is designed to assist our city residents by providing them a
means of capping the cost of Fire Department Paramedic EMS response at a low and
predictable amount. Subscribers are not billed for Fire Department EMS response. A
subscription membership is sold to a household, covering family members that reside in that
household. The City has an annual membership fee of$24.00. There are currently
approximately 1000 families enrolled in our subscription program, and it is an annual
membership, from July 1"—June 30`x', based on the City of San Bernardino's Fiscal Year cycle.
The Billing Service contractor notifies the members each year to renew their subscription. The
Billing Service Contractor shall also conduct a mailing of the subscription brochure to city
residents, annually in the spring of each year to notify residents of the availability and benefits
of the subscription program.
The billing process is initiated when the Fire Department paramedics provide Emergency
Medical Care to include assessment and treatment. Patient information is collected on our
EMS Patient Care Report (PCR) either on a paper form, or in an electronic data collection
system. This information is reviewed for accuracy and completeness and forwarded to the
Billing Service contractor to generate the EMS response bill and collection. Our current overall
collection rate is over 10% with a combination payer mix as listed below:
Private Insurance- 13%
Self/private pay- 87%
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jRFP F-I 1.15
EMS Billing
j
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Customer disputes may be referred to the City Fire Department's EMS Coordinator for final
resolution.
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SCOPE OF WORK
I
j Provide Billing Services to the City of San Bernardino Fire Dept. for Emergency Medical
j Services (EMS) response, and subscription fees.
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Contract Transition:
Explain how your firm would handle the transition from the existing contract to the
new contract if your firm were the successful vendor. Specifically address how your
firm would provide, in a timely manner, the contract deliverables listed, Scope of
Contract Work. A smooth continuation of billing and collection services must be
provided so that the City can deliver uninterrupted, efficient service to its citizens
and can maintain its standard of revenue from accounts received.
Preliminary Work Plan:
Describe the phases into which the contract logically can be divided and performed,
This narrative should provide an overview of the tasks for each part of the contract.
List the equipment your firm would employ. State how much lead time, if any, your
firm would need to adapt to this system once the contract is awarded. Explain what
preparations would be undertaken during the lead time. Describe the maintenance
support your automated system would have.
Proposed Time-Table for Deliverables during the First Year:
Provide a proposed timetable for all contract activities addressed in the Preliminary
Work Plan which must occur from the date of contract award and throughout the first
contract year.
Customization of Services for the City of San Bernardino:
Explain the factors your firm will consider in tailoring the billing and collection
services to the needs of City employees and the City's EMS users. Note any
modifications to your standard billing and collection services that will be undertaken
to ensure that this contract is customized to the special requirements of the City of
San Bernardino.
Performance Methods:
Address the following-
Intake Procedures: Describe the procedures for importing, receiving and
processing the Patient Care Report information from the Fire Department
Private Insurance Accounts: Describe the procedures for billing private
insurance companies. Detail the procedures for handling rejected claims.
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RFP F-11-15
EMS Billing
Self Pay Accounts: Describe the procedures for billing individual users,
including how your firm would produce, print and send bills and notices. As an
exhibit to this item, provide samples of correspondence, bills, notices and envelopes
your firm would use. Describe the procedures for handling bills returned by the
Postal Service as undeliverable, including what efforts will be taken to pursue those
accounts.
Insufficient Information and Uncollectible Accounts: Describe what actions
your firm would take before declaring an account as having insufficient information
or being uncollectible. Describe the procedures for obtaining supplemental billing
information.
Account Services:
Describe all controls that would be established to insure an accurate accounting of
ambulance fee payments or any other forms of payment, i.e. credit cards andlor
internet. Note the location where payments would be mailed and/or delivered in
person. Detail the procedure for accepting and processing payments both by mail
and in person. In this section, describe all bookkeeping procedures to be used.
Also describe all other records your firm must keep, such as files, books and
documents. As an exhibit to this item, provide a sample of the monthly invoice to be
sent to the Fire Department for services rendered.
Customer Service:
Describe the procedures and controls that your firm will use to respond to, and to
resolve inquiries, complaints and requests for account information from users,
insurance companies, lawyers and others. Describe where this function would be
performed and by whom. Explain how your firm would keep the City informed of the
number and types of complaints received. Describe the timeliness and methods for
responding to City requests. Describe service to those customers of the City with
particular emphasis on the following:
• Ability to provide live telephone support via local and long-distance toll-free
numbers
• Days and hours that telephone support is available
• Availability of a bilingual (English/Spanish) speaking staff
• Policies and procedures on handling investigation of errors and
discrepancies, patient information updates, and disclosure of policies
regarding potential discounts, refunds, payments, etc.
• Timeliness of posting of payments, distribution of statements and refunds,
and patient notification as to account change of status or resolution of issues.
Management Reports:
Describe all information your firm would include on monthly management reports,
and how it would be derived. Describe the quality controls you would use to ensure
accuracy of reporting. Include discussion of preformatted standardized forms;
flexible reporting capabilities (including ability for City to create new reports and/or
modify existing standardized reports; and report modification and data retrieval.
Demonstrated knowledge of and compliance with:
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KFN F-i t-i s
• Health Insurance Portability and Accountability Act(HIPAA)
• Health Care Financing Administration (HCFA) Regulations
• Reports showing clear audit trails in accordance with Generally Accepted
Accounting Practices.
COST PROPOSAL
The vendor shall submit a proposal based on a percentage of monies collected. The cost
proposal must contain data to support the proposed charges. The proposed charges
must be stated for each of the following accounts:
• Private Insurance
• Self Pay Accounts
• Paramedic Subscription Renewal
j • Miscellaneous Other Costs
• Vendor shall identify and provide the costs for any additional charges that
may become billable to the City, which have not been identified above.
Any increase or extra cost for billing services during the term of this contract will require
agreement from both parties. Once agreement has been reached, a new contract with
the amendments will require final approval from City Council.
Vendor shall provide the City with a monthly invoice in arrears for compensation. The
City will provide payment to vendor within thirty (30)days of receipt of billing from vendor.
The City will retain the right to challenge all or any part of an invoice.
Vendor understands that if there is a substantial drop in collections, City is requiring a
formal communication of the decline, the potential reason for the decline, and
recommendations to correct the problem.
INNOVATION
Substantial consideration will be given to a vendor that employs innovative methods for
increasing revenue collection that reflect advances in technology or collection strategies.
Vendor shall outline such strategies or technologies and provide examples of how their
use improved revenue collection for specific agencies.
ADDITIONAL INFORMATION
Information not specifically requested in the foregoing sections but which is considered
essential to the proposal may be presented in this section. Some suggestions of
additional information include, but are not limited to, copies of relevant media reprints and
promotional brochures of your firm..
12
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RFP F-I 1-15
EMS Billing
BILLING SERVICES
The successful vendor shall provide billing services as outlined below:
Data Collection:
The vendor must be capable of interfacing with Healthware Solutions software. Additionally, the
vendor must be able to exchange data with the City's data collection server. The vendor shall
be in compliance with all applicable HIPPA regulations and directives. if the City changes
software as a result of the regional EMS Agency's mandate or funding, the billing vendor shall
make accommodations to accept data from the new software.
HIPPA:
The vendor must be in compliance with all current applicable HIPPA regulations and directives,
I
Collections:
Vendor will prepare all invoices and follow-up mailings. Initial invoicing occurs within five (5)
days of receipt of EMS PCR or data. A Toll Free 800 telephone number will be provided to
patients. An initial telephone call will also be made at this time to elicit any insurance
information from the patient or patient's family. If no answer on the call, vendor will send an
inquiry letter in addition to the initial invoice.
The vendor shall prepare and mail invoices collected from the EMS response data on the
following schedule:
Initial Invoice Within 5 working days of receipt of PCR data
Second Notice 30 days
Past Due Notice 45 days
Demand for Payment 75 days
Collections Notice 90 days
Workers' Compensation and Private Insurance:
Vendor will bill private insurance, supplemental insurance, secondary insurance and Workers'
Compensation billed according to specific requirements. Electronic billing of insurance
companies is performed where appropriate. The successful bidder will perform any
correspondence for additional information or follow up necessary to secure insurance
payments.
Follow-up Work:
The vendor shall provide all follow-up work required to collect insurance payments, including
additional correspondence and telephone calls. The vendor shall establish relationships with
the local hospitals in order to obtain "face sheets" that will provide billing information and
provide a higher collection rate. The vendor shall log all contact and follow-up work in the
patient's account ledger.
EMS Paramedic Subscription Membership Program:
The vendor shall be responsible for administering the Paramedic Subscription Membership
Program. The vendor will solicit and maintain new membership subscriptions and bill
subscribers for annual renewal.
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RFP F-11-I5
EMS Billing
Delinquent Accounts:
Patients with claims aging over 45 days will be contacted by telephone for payment
arrangements. Telephone follow up will continue until payment in full is received or
account is dismissed by the City to an outside collection agency. The vendor will utilize
installment billing in cases of financial hardship.
Vendor must submit a monthly Summary Report of collection methods including, but
not limited to:
• A variety of bills and statements
• Delinquent notices
• Telephone follow-up calls
• Additional correspondence with the patient
• Correspondence with Third Party Payers
• Any additional criteria necessary to deem accounts uncollectible
The vendor shall note the type of contact. Such as telephone call, or correspondence with the
patient or insurance carrier. The vendor shall note on the patient's record the date and
information obtained from the contact person. Information such as "mail returned"or"phone
disconnected", shall also be notated. The vendor shall indicate "Delinquent Notice" on their
statements, and also include a statement that if there is no response that the overdue account
will be referred to collections.
On a monthly basis, the vendor shall provide an electronic and /or written documentation to the
City indicating all delinquent accounts. The report will include the date of the FMS response,
name of employer(if applicable), reason the account is uncollected, proof and dates of the
vendors attempts to collect on the account, reason for non-collection and final resolution.
Accounts over 90 days past due:
Vendor will refer to the City all cash accounts that are over 90 days past due. The vendor will
also provide the City an electronic and/or copy of all documentation of contact as specified
above and a recommendation for collection or write-off.
Upon approval and direction by the City, the vendor shall reference in the billing history; the
date account is written-off and reference the collection agency assigned to account. The
vendor will then return to the City the accounts to be assigned to an outside collection agency
Receipt of Funds:
The vendor will collect and log into departmental receipt all funds collected as a result of
services provided by the City within two (2) days of receipt. These receipts will be logged by
the vendor and delivered to the City by mail/courier. A detailed report will be issued to the city
monthly showing all payments, refunds, adjustments, and balances.
Reports & Reporting Requirements:
Monthly, the successful bidder will perform accurate month end close procedures, which
will result in the following reports:
• Monthly Ticket Survey
14
RFP F-I 1-15
EMS Billing
• Monthly Sales Journal
• Monthly Cash Receipts Journal
• Monthly Receivables Aging
• Management A/R Analysis
• Statistical Reports customized to client needs
At startup, system must provide weekly, month-to-date and year-to-date accounts
receivable reports. Month-to-date and year-to-date reports must show a full account of
month or year's activities. These reports shall include: total transactions billed, total write-
offs, total refunds, total payments received, and breakdown of payments by source.
Accounts receivable reports must show all payments and adjustments per account.
Vendor must provide monthly reports of aging accounts receivable and aging receipts.
All reports must show clear audit trails and be in accordance with Generally Accepted
Accounting Practices.
CITY RESPONSIBILITIES
• Submit necessary EMS patient information, including pay source information,
when available, to the vendor for billing purposes.
• Notify the vendor of any accounts that require special attention.
• Obtain signature of patient or responsible party/guardian when available.
• Provide patient's Social Security Number when available.
INDEMNIFICATION
The vendor shall indemnify, defend and hold the City, its officers, employees, and agents
harmless from any claim, demand, liability, suit, judgement, or expense (including, without
limitation, reasonable costs of defense) arising out of or related to the vendor'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 the City's willful misconduct or sole negligence.
The costs, salary, and expenses of the City Attorney and members of his office in enforcing this
agreement on behalf of the City shall be considered as "attorney's fees"for the purposes of this
paragraph.
INSURANCE
While not restriction or limiting the foregoing, during the term of this agreement, the vendor shall
maintain in 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)days notification to the City if said policies are terminated or materially
altered.
1�
RFP F-11-15
EMS Billing
INDEPENDENT CONTRACTOR
The vendor shall perform work tasks as directed by the Fire Chief or designee, but for all intent
and purposes, the vendor shall be an independent contractor and not an agent or employee of
the City.
NOTIFICATION OF TERMINATION
In the event the City exercises the right to terminate the contract for dissatisfaction, the City will
give the vendor five (5) days written notice of such termination.
The City of San Bernardino and the Vendor each reserve the right to cancel, for any reason, all
or any portion of the services covered by this agreement. To exercise this right, a thirty (30)
day written notice must be given.
CONTRACT COMPLIANCE
Contractors must comply with the provisions of the Equal Employment Opportunity Program of
the County of San Bernardino and rules and regulations adopted pursuant thereto. Executive
Orders 11246, 11375, 11625, 121380, 12432, 121380, 12432, 12250, Title VII of the Civil
Rights Act of 1964, the California Fair Employment Practice Act, and other applicable Federal
State, and County laws, regulations, and policies relating to equal employment and contracting
opportunities, including laws and regulations hereafter enacted.
PARTICIPATION
The City desires that Municipalities, School Districts, and other Tax Districts within the County
of San Bernardino requiring paramedic billing services may at their option and through the City
Purchasing Manager, avail themselves of the contract resulting from this proposal. Upon
notice, in writing, the Vendor agrees to the extension of the terms of a resultant contract with
such Governmental bodies as though they have been expressly identified in this proposal, with
the proviso that:
a. Such Government body does not have and will not have in force any other contract for
like purchases;
b. Such Government body does not have under consideration for award any other
proposals or quotations for like purchases;
c. Such Governmental body shall make purchases through the Contractor, and make
payment directly to the Contractor.
TERM OF AGREEMENT
The agreement shall be for a period of two (2) years, beginning July 1, 2011 through June 30,
2013, with three (3)one-year renewal options based on satisfactory performance, at the City's
16
RFP F-11-1$
EMS[filling
discretion and/or for City requirements. The City of San Bernardino Fiscal year begins July 1st
and ends June 30th of each year.
FORMAL AGREEMENT
Vendor will be required to enter into a formal agreement with the City. This RFP sets forth
some of the general provisions which will be included in the final Agreement. In submitting a
response to this RFP. Contractor will be deemed to have agreed to each clause unless the
proposal identifies an objection and City agrees to a change of language in writing.
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Ai-tachment 2
intermedix
•
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Proposal for
Emergency Medical Services Billing
COST PROPOSAL
March 17, 2011 — 3:00 p.m. Local Time
RFP#: F-11-15
Submitted to
The City of San Bernardino Finance Department
City of San Bernardino
Finance Department
Purchasing Division
300 N. "D" Street, 4`r' Floor
San Bernardino, CA 92418
Copyright CO 2011 by fntermedix
All Rights Reserved
www.in termed ix.ront
RFPii:F-11-15 EMERGENCY MEDICAL SERVICES BILLING
Cost Proposal
Our cost proposal is an "all-inclusive" price for the Intermedix FMS billing, collection and subscription
program services for First Responder Services provided by the City of San Bernardino's Fire Department.
First Responder Billing, Collection and Subscription Services
feet 25 nnO/.of Net rnllections`
"Net Collections is defined as Total Cash Collections, Less Refunds
The price bid herein shall include all expenses of billing and collection including, but not limited to,
stationery,fortes,envelopes, postage,and phone facilities.
Credit card fees(generally 2.5%of amount charged)for processing patient payment via credit card
account are netted with payment amount if the City elects to accept credit curd payments.
If you should have any further questions concerning the contents of this proposal or any other issues we
can help clarify, please do not hesitate to contact Dennis Murry, Director of Business Development at
530-626-7013. Again, thank you, and we look forward to the opportunity to continue our relationship
with the City.
0 2011 Intermedix 2