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iIYRUttANCL UN �!U <br />WORK Maur' PENEED <br />0WIL 1IV, UnANCE LKPIRE: <br />CLERK OF COUNCIi. <br />DATE: S—( (¢ — 0(o <br />A-2006-112 <br />CONSULTANT AGREEMENT <br />THIS AGREEMENT, made and entered into this 1" day of May, 2006 by and between <br />Lien On Me Medical Bill Review, Inc., a California corporation (hereinafter "Consultant"), and <br />the City of Santa Ana, a charter city and municipal corporation organized and existing under the <br />Constitution and laws of the State of California (hereinafter "City"). <br />RECITALS <br />A. The City currently utilizes an independent preferred provider network in its Self - <br />Funded Workers' Compensation Program to have cost control measures through <br />contracted provider and facility rates, including a formal auditing system of all <br />medical provider billings. <br />B. Consultant is experienced, knowledgeable and has the personnel and systems capable <br />of providing the medical fee review process, contract medical providers, facilities, <br />and retrospective re -pricing process. <br />C. City desires to retain Consultant to perform the services desired by City to analyze <br />medical bills and secure potential cost savings. <br />D. In undertaking the performance of this Agreement, Consultant represents that it is <br />knowledgeable in its field and that any services performed by Consultant under this <br />Agreement will be performed in compliance with such standards as may reasonably be <br />expected from a professional consulting firm in the field. <br />NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the <br />terms and conditions hereinafter set forth, the parties agree as follows: <br />1. SCOPE OF SERVICES <br />Consultant agrees to provide a comprehensive medical bill analysis and cost containment <br />service, utilizing all reasonable and applicable cost containment and management methodologies. <br />These methodologies shall include a four -tier Preferred Provider Organization (PPO) system. Of <br />the four PPOs pre -selected by the City, if the pre -designated primary PPO offers no discount, <br />Consultant's system will check with the remaining three PPOs until a discount is applied if <br />available. Out of Network negotiations and reduction to Fee Schedule will be applied where <br />applicable. <br />Consultant guarantees a five -business -day turnaround on all batches of bills received <br />from the City, if all required data has been submitted by City. Consultant shall not charge a bill <br />review service fee to or seek compensation from the City for services rendered outside said five - <br />business -day turnaround time. City shall be responsible for payment of appropriate PPO fees <br />charged. <br />