WITTMAN ENTERPRISES, LLC HIPAA BUSINESS ASSOCIATE AGREEMENT -2009

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Wittman Enterprises, LLC We also electronically bill for the City, all qualified primary and secondary insurance sources, workers' compensation, health maintenance organizations, third party liability, benefit programs, and self - insurance programs. Those who do not qualify are billed on paper. Billing and Verification of Self Pay Accounts Surveys from the American Collectors Association indicate that patients are more motivated to make a payment from a telephone call rather than repeated collection notices. However, they have shown the most amount of effectiveness from a combination of these two mediums. We have found this to be true through the personal attention given to our clients and their patients. Our first call to a private account occurs immediately after data entry of the incident into the system. This "Verification" call allows us to determine if the patient has insurance or any special circumstances that will make it difficult to pay the bill in a reasonable amount of time. This early establishment of contact with the patient is very beneficial. At this point handling of the account becomes very individualized. We have found that our system of invoices, statements, delinquency notices, and individual letters in conjunction with telephone follow up has been most successful. Follow -up procedures used to elicit payment include a data file established for each patient from which information regarding the transport, billing and payment can be recorded and retrieved, and patient information can be updated. All patients may be referenced by name, date of service, incident number, run number, social security number, and insurance identification numbers. See table on page 17 for a sample bill schedule. Billing and Verification of Insurance Accounts and Third Party Pavers All insurance and third party payer information provided at the time of input is verified with phone calls. On -line access to insurance companies is utilized where offered. Our process of identifying the correct payer for a patient's claim before it is even billed has kept our percentage of incorrect billings low. Our Customer Service Representatives, in the event of incorrect insurance information, will contact hospitals, and if necessary, the patient for the corrections to that information. Bankruptcy and Litigation Accounts When notified of a personal bankruptcy all billing activity will cease. Information will be noted in the account and followed monthly. Once notification of discharge of debt is made the account is adjusted to a zero balance. In the case of probate circumstances, we will file a creditor's claim to protect the City's interests. When an account is identified as a litigation case it is flagged with a specific pay source, attorney information is added to the account, a lien is sent to the patient's attorney to be signed by both the patient and the attorney, and the patient billing is put on hold. City of Santa Ana Fire Department 15