Title
District Attorney's Office recommending the Board:
1) Approve and authorize the Chair to execute Amendment I to Agreement 5689 with Coding Continuum, Inc. (CCI), amending the scope of work to include Exhibit A-1, additional Scope of Work/Budget, increasing the contract amount by $109,425, for a total not-to-exceed amount of $239,425, 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.
Body
DISCUSSION / BACKGROUND
In June 2021, the Board approved and authorized the Chair to execute Contract 5689 with CCI to provide expert medical billing audit services required for an on-going Workers’ Compensation Fraud case currently assigned to the District Attorney’s Office. The District Attorney has determined that the case will require the contractor to provide additional services and that the contractor may need to travel and/or print and ship materials. Amendment I incorporates these services and increases the contract amount to cover the cost of the additional services, travel, and/or shipping and printing. 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 expressly identified in County job classifications and requires specialized skill. This case involves a specific and unique area of medical provider fraud law, where very few experts are qualified to complete the in-depth audit requirement; CCI being one of them who has agreed to accept the task.
ALTERNATIVES
Should the Board decline to approve and execute Amendment I to Contract 5689 with CCI, the District Attorney’s Office will not be able to continue procuring expert auditing services as required for the case at hand.
PRIOR BOARD ACTION
Legistar 20-1331, October 20, 2020 - Board approved the acceptance of the CDI Workers’ Compensation Fraud (WC) Program for the July 1, 2020 - June 30, 2021 grant period
Legistar 21-0764, June 8, 2021 - Board approved and executed Contract 5689.
OTHER DEPARTMENT / AGENCY INVOLVEMENT
N/A
CAO RECOMMENDATION / COMMENTS
Approve as recommended.
FINANCIAL IMPACT
There is no change to Net County Cost associated with the execution of CCI contract 5689. Services will be completely funded by the Workers’ Compensation Grant. Appropriations for the services are included in the District Attorney’s FY 2021-2022 budget.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Upon approval, Clerk of the Board to obtain the Board Chair’s signature on two copies of Agreement 5689 with CCI and return one certified copy to the Chief Administrative Office, Central Fiscal Unit, Attention: Audra Anderson.
STRATEGIC PLAN COMPONENT
Public Safety
CONTACT
Vern Pierson, District Attorney