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District Attorney recommending the Board:
1) Approve and authorize the Chair to execute Agreement 5689 with Coding Continuum, Inc. in the amount of $130,000 with an agreement term effective for up to one year upon execution, to provide expert medical billing audit services in reference to a Workers’ Compensation Fraud case; and
2) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Coding Continuum, Inc. for services provided under Agreement 5689 because (B) "Specialty skills and qualifications not expressly identified in classifications are involved in the performance of the work".
FUNDING: California Department of Insurance.
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DISCUSSION / BACKGROUND
Contract 5689 with CCI will provide expert medical billing audit services required for an on-going Workers’ Compensation Fraud case currently assigned to the District Attorney’s Office. Services include the validation audit and forensic review of a total 1,939 claim lines at a rate of $64.47 per line. The Consultant’s work product will consist of detailed documentation memorializing audit findings and results of validation audit findings including line-by-line comparison of the Consultant and prior expert audit results, with additional comments.
Total estimated amount for the project is $125,007.33. The Consultant does not anticipate exceeding the estimated amount for Scope of Works services, however any change in scope or request for additional work will be billed in accordance with the Consultant’s billing rates as identified per the agreement. Total contract not-to-exceed value is $130,000. All contractor costs will be directly funded by the District Attorney’s Workers’ Compensation Grant award as administered by the California Department of Insurance.
Additionally, in accordance with chapter 3.13, Section 3.13.030, the Board is being asked to make findings that it is appropriate to contract out for the necessary services as the work is not expressl...
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