File #: 11-1259    Version:
Type: Agenda Item Status: Approved
File created: 10/27/2011 In control: Board of Supervisors
On agenda: 4/29/2014 Final action: 4/29/2014
Title: Health and Human Services Agency recommending the Board consider the following: 1) Approve and authorize the Chair to sign Amendment I to Agreement 067-S1211 with Wittman Enterprises to extend the existing termination date to June 30, 2016, with no change to the compensation based on a percentage of ambulance billing receipts; 2) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 067-S1211, including amendments thereto, which do not affect the maximum dollar amount or term, contingent upon approval by County Counsel, Risk Management, and Human Resources, as applicable; and 3) Authorize the Director, Health and Human Services Agency, or designee, to continue to administer said Agreement. FUNDING: Ambulance billing revenue.
Attachments: 1. 2A - 067-S1211, A1, approved CRS, 4-29-14, 2. 2B - 067-S1211, A1, 4-29-14, 3. Executed Amendment I to 067-S1211 (BOS 4-29-14), 4. 1A - Blue Sheet Wittman Agmt.pdf, 5. 1B - Wittman Agmt.pdf
Title
Health and Human Services Agency recommending the Board consider the following:
1) Approve and authorize the Chair to sign Amendment I to Agreement 067-S1211 with Wittman Enterprises to extend the existing termination date to June 30, 2016, with no change to the compensation based on a percentage of ambulance billing receipts;
2) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 067-S1211, including amendments thereto, which do not affect the maximum dollar amount or term, contingent upon approval by County Counsel, Risk Management, and Human Resources, as applicable; and
3) Authorize the Director, Health and Human Services Agency, or designee, to continue to administer said Agreement.
 
FUNDING:  Ambulance billing revenue.
Body
Budget Summary
 
Total Estimated Annual Cost……….
$541,000
 
 
New Funding…………………………
$0
Savings……………………………….
$0
Other…………………………………
$0
Total Funding Available …………….
$541,000
 
 
Change to Net County Cost………
$0
 
Fiscal Impact/Change to Net County Cost
There is no Net County Cost associated with this Agreement.  Compensation is based on a static percentage of the ambulance billing revenue received and deposited into the County Treasury.  Compensation is currently set at 4.5% of ambulance billing revenue for Patient Care Reports submitted via the electronic Patient Care Report by the County's ambulance service contractors.
 
Background
The County has contracted with Wittman Enterprises for ambulance billing services since July 1, 2007 and, during that time, the vendor has successfully met the requirements of their contracts with the County.  These requirements include but are not limited to verifying and entering all Patient Care Report data into its billing system within 48 hours of receipt, calculating applicable charges according to the Board-approved ambulance rate schedule, following up on all accounts to ensure the maximum legal reimbursement to the County, rebilling accounts if appropriate when initial billing is denied, posting payments and adjustments to accounts in a timely manner, responding to inquiries as appropriate, maintaining access to legal counsel and other County staff in responses to subpoenas, potential lawsuits, and other matters.  
 
Reason for Recommendation
As Wittman Enterprises continues to meet the agreed upon performance requirements, extending the existing Agreement is necessary to ensure continued efficient billing and receipt of payments for the County's ambulance transport services.  
 
Clerk of the Board Follow Up Actions
1)  Clerk of the Board to have the Chair sign two (2) originals of Amendment I to Agreement 067-S1211.
2)  Clerk of the Board to return one (1) fully executed original Amendment I to HHSA Contracts Unit at 3057 Briw Road, Suite A.
 
Contact
Don Ashton, M.P.A., Director
 
Concurrences
County Counsel, Human Resources, and Risk Management