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City of Santa Ana Response to Request for Updated Scope of Work 0 5/31/18 Assurance of excellent clinic performance issues, as needed * Periodic reports documenting the results of Occu-Med's work QA' fees that the City would pay directly to the medical clinic, but without all the hassle of dealing with "MEDICAL BILLING INVOICES" Occu-Med began its Clinic Bill Review service in 2006 as part of its service to ITT, a company charged with deploying employees to Iraq, Kuwait, Qatar and Afghanistan for various major federal projects in that region. We have evaluated more over 100,000 clinic invoices for pre -placement exams over this span of time and have been absolutely appalled at our findings: a) more than 92% of these clinic invoices were initially submitted with inaccuracies (wrong charges for tests not performed, charges for unnecessary testing performed, duplicate billings); and b) much worse is the fact that nearly all of the incorrect invoices were inaccurate in favor of the clinic. Occu-Med requires the submission of an accurate invoice for payment—at which point we immediately submit payment to the clinic. We submit our invoice to the City as a single fee (as negotiated) for an exam— as the City's request our invoice will also include a list of itemized charges, however, the charges will always add up to the pre -agreed negotiated fee. CIients have informed us that this "bill review" service alone has literally saved days of staff time. Another client, upon learning of this billing trend, audited the previous year's invoices and was able to obtain a refund of more than $3,000 for exams performed. On the fust day of each month, Occu-Med will submit an invoice to the City for the prior month's medical services and examinations. Our invoices will be itemized by the date of service, name of person examined, type of physical performed, itemized charges for each type of physical (if applicable), a subtotal for each person examined, and a total of charges for the month being billed. Our knowledge of the precise medical exam components that are of value for each specific job class (eliminating useless, improper and overly expensive medical tests), our ability to negotiate fair and reasonable charges from providers for medical exams, our national buying power for laboratory services (blood chemistry pastels and urine drug screens), and our careful auditing of clinic and laboratory charges allow us to offer a vastly expanded array of services to our clients for fees typically charged by their medical provider for just the medical examination and laboratory charges. Occu-Med will in -tum be able to continue to submit clear and straightforward monthly invoices to the City. This stands in contrast to the amorphous and often incorrect invoices typically submitted by clinics. 16 1 Occu-Med 25L-26