WITTMAN ENTERPRISES, LLC HIPAA BUSINESS ASSOCIATE AGREEMENT -2009

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Wittman Enterprises, LLC Mr. Nevins was formally the President of the California Ambulance Association, serves as a member of the American Ambulance Association Reimbursement Committee, and is a Former Executive Vice President of the American Ambulance Association. Our relationship with Mr. Nevins insures that we adhere to all aspects of Medicare law. He performs yearly audits to insure that our billing service remains in complete compliance, thus protecting our clients. Our internal compliance committee meets on a quarterly basis to review any Medicare issues or new information. Further, we ensure compliance with Government payers by continuingly educating ourselves through seminars provided by Medicare, Medi -Cal, and Industry Associations. Our Customer Service Supervisors monitor 10% of all telephone calls made for quality, assurance, and an additional 35% of account information changes that resulted from telephone calls and correspondence, are audited for accuracy. Calls and Correspondence Wittman Enterprises, LLC processes the City's incoming calls and correspondence in a timely, professional, and courteous manner. Our Customer Service Supervisors monitor 10% of all telephone calls made for quality assurance. An additional 35% of account information changes that resulted from telephone calls and correspondence are audited for accuracy. We pledge our continued commitment to treat the City's community with respect and compassion in the management of ambulance billing. Our personal attention to detail and gracious handling of patients has resulted in the maximum amount of reimbursement allowed while maintaining the ethics we have demonstrated in our years of service. Customer service is our number one goal at Wittman Enterprises, LLC. Claim Appeals Wittman Enterprises, LLC has become "armed" with extensive training that clarified the obligations of California insurance carriers. As a result of this training we have put into action our "Revenue Assurance Team." They know the applicable sections of the Knox Keene Act, Insurance codes, and Health and Safety codes, and quote them when demanding payment from insurance. They also file complaints with the Department of Managed Care; who govern HMO's, when an insurance company is non - compliant. This knowledge has helped us obtain correct payment from once difficult carriers such as Health Net, one of the largest in California. They also appeal claims, demand payment, with interest if applicable, from any non - compliant insurance company. Workers' Comp and insurance companies are challenged when claims are denied or underpaid. Denials are not simply "accepted." City of Santa Ana Fire Department 22