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REQUEST FOR <br />COUNCIL ACTION <br />CITY COUNCIL MEETING DATE: <br />DECEMBER 17, 2019 <br />TITLE: <br />APPROVE AMBULANCE & PARAMEDIC <br />BILLING AND COLLECTION SERVICES <br />RENEWAL AGREEMENT WITH WITTMAN <br />ENTERPRISES, LLC FOR A CONTINGENT <br />RECOVERY RATE NOT TO EXCEED 3.99% <br />{STRATEGIC PLAN NO. 7, 5F} <br />/s/Kristine Ridge <br />CITY MANAGER <br />RECOMMENDED ACTION <br />CLERK OF COUNCIL USE ONLY: <br />APPROVED <br />❑ As Recommended <br />❑ As Amended <br />❑ Ordinance on 1" Reading <br />❑ Ordinance on 2ntl Reading <br />❑ Implementing Resolution <br />❑ Set Public Hearing For <br />,K•�►nl►tr».ic•� <br />FILE NUMBER <br />Authorize the City Manager to execute a renewal agreement with Wittman Enterprises, LLC for a <br />three-year (3) period for ambulance and paramedic/medical billing and collection recovery services <br />including an option exercisable by the City Manager to transfer the administration of the City's <br />Paramedic Subscription Program to the consultant. The agreement would be effective from January <br />1, 2020 through December 31, 2022 (based on a contingent collection fee rate of 3.99%) with two <br />optional (1) one-year extensions exercisable by the City Manager and City Attorney, subject to non - <br />substantive changes approved by the City Manager and City Attorney. <br />DISCUSSION <br />Background <br />The Treasury & Customer Service Division of the Finance and Management Services Agency <br />("FMSA") is responsible for the administration of the City's ambulance/paramedic billing and cost <br />recovery services. The primary tasks include: <br />• Assure the City is reimbursed in a timely manner for emergency medical services ("EMS") <br />and transport provided through the City's contracts with the Orange County Fire Authority <br />("OCFA") and Care Ambulance Services, Inc. ("CARE"). <br />• Maximize the legal cost recovery to the City from all resources, including but not limited to, <br />Medicare, Medi-Cal, Private Insurance, and Private Pay for the EMS and transport provided. <br />• Manage provider compliance with Medicare and Medi-Cal to insure the City has a record of <br />clean claims and a history of proper billing. <br />• Supply comprehensive revenue recovery involving appeal of Medicare, Medi-Cal, and <br />private insurance denials, researching of all private pays to find viable insurance, and <br />working with patients to arrange alternate methods of repayment; and <br />25B-1 <br />