Title
Health and Human Services recommending the Board adopt Resolution 186-2011 authorizing the Director to:
1) Execute in the name of the County of El Dorado all documents related to Medicare billing, including Medicare revalidation applications, agreements, amendments and requests for payment necessary to continually maintain Medicare billing privileges;
2) Execute in the name of the County of El Dorado all documents related to new Medicare enrollment applications, contingent upon concurrence from Chief Administrative Officer and the County Counsel;
3) Initiate payment of any fees required as a condition of submitting any Medicare enrollment or Medicare revalidation of enrollment documents.
FUNDING: Current application fee to be funded from Ambulance Billing Revenues.
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BUDGET SUMMARY:
Total Estimated Cost Current application fee $505
Funding
Budgeted $
New Funding $
Savings $
Other $
Total Funding Available $505
Change To Net County Cost $0
Fiscal Impact/Change to Net County Cost:
No change in Net County Cost. Funds for the current application fee are available within the Health and Human Services FY 2011-12 Ambulance Billing program budget
Background:
The County has been routinely billing Medicare for various services, including ambulance services and annual flu shot clinics. Medicare is a critical funding source which offsets the cost to the County of providing these services. Revenues from annual Medicare billings are approximately $2.7 million for ambulance services and $10,000 for flu shot clinics.
Reason for Recommendation:
The Patient Protection and Affordable Care Act (PPAC) Section 6401 (Title 42 Code of Federal Regulations (CFR) Section 424.515), requires that all existing providers must be reevaluated under new screening guidelines specified in PPAC Section 6028 by no later than March 23, 2013. In addition Medicare requires that all Medicare providers revalidate enrollment information every five years. Failure to...
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