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City of Santa Ana Response to Request for Updated Scope of Work 15/31/18 <br />Assurance of excellent clinic performance issues, as needed <br />• Periodic reports documenting the results of Occu-Med's work <br />QAzfees that the City would pay directly to the medical clinic, but without all the hassle of dealing with <br />"MEDICAL BILLING INVOICES" Occu-Med began its Clinic Bill Review service in 2006 as part of its <br />service to ITT, a company charged with deploying employees to Iraq, Kuwait, Qatar and Afghanistan for <br />various major federal projects in that region. We have evaluated more over 100,000 clinic invoices for <br />pre -placement exams over this span of time and have been absolutely appalled at our findings: a) more <br />than 92% of these clinic invoices were initially submitted with inaccuracies (wrong charges for tests not <br />performed, charges for unnecessary testing performed, duplicate billings); and b) much worse is the fact <br />that nearly all of the incorrect invoices were inaccurate in favor of the clinic. <br />Occu-Med requires the submission of an accurate invoice for payment—at which point we immediately <br />submit payment to the clinic. We submit our invoice to the City as a single fee (as negotiated) for an <br />exam— as the City's request our invoice will also include a list of itemized charges, however, the charges <br />will always add up to the pre -agreed negotiated fee. Clients have informed us that this "bill review" <br />service alone has literally saved days of staff time. Another client, upon learning of this billing trend, <br />audited the previous year's invoices and was able to obtain a refund of more than $3,000 for exams <br />performed. <br />On the first day of each month, Occu-Med will submit an invoice to the City for the prior month's <br />medical services and examinations. Our invoices will be itemized by the date of service, name of person <br />examined, type of physical performed, itemized charges for each type of physical (if applicable), a <br />subtotal for each person examined, and a total of charges for the month being billed. <br />Our knowledge of the precise medical exam components that are of value for each specific job class <br />(eliminating useless, improper and overly expensive medical tests), our ability to negotiate fair and <br />reasonable charges from providers for medical exams, our national buying power for laboratory services <br />(blood chemistry panels and urine drug screens), and our careful auditing of clinic and laboratory charges <br />allow us to offer a vastly expanded array of services to our clients for fees typically charged by their <br />medical provider for just the medical examination and laboratory charges. <br />Occu-Med will in -turn be able to continue to submit clear and straightforward monthly invoices to the <br />City. This stands in contrast to the amorphous and often incorrect invoices typically submitted by clinics. <br />16 1 Occu-Med <br />25L-26 <br />