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Agreement for Paramedic /Medical <br />Billing and Collection Services <br />June 17, 2014 <br />Page 3 <br />The proposed cost for Wittman's Paramedic Subscription Program service will be applied to <br />fees collected and is as follows: <br />➢ Initial and subsequent renewal mailings - $1.00 per account. <br />➢ Administration of the City's subscription program: <br />(Year 1) - 12% of subscription membership fees collected. <br />(Year 2) - 11 % of subscription membership fees collected. <br />(Year 3) - 10% of subscription membership fees collected. <br />In order to implement third party administration of the Paramedic Subscription Program through <br />Wittman, Medicare requires that a jurisdiction maintain a certain paramedic subscription fee threshold <br />to meet Medicare Part B cost - sharing guidelines. This would require the City to increase its current <br />annual subscription fee from $50.96 to $65. Participation in the optional City Paramedic Subscription <br />proposal is elective on the part of the City and can be exercised by the City Manager or his designee <br />for the first agreement year, prior to January 1, 2015, and thereafter prior to July 1St for any <br />subsequent agreement year. Based on the potential to more efficiently promote and administer the <br />City's Paramedic Subscription Program and thereby expand participation by Santa Ana residents, <br />staff recommends inclusion of this option. <br />FISCAL IMPACT <br />As payment for services is contingent upon successful collection, Wittman will share in the total <br />revenue recovered from their billing /collection efforts and paid from the Fire Services Contract <br />Services Professional account no (01115330- 62300). <br />± N''i�Lj\�_Lrr 1 3 <br />Francisco Gutierrez <br />Executive Director I <br />Finance & Management Services Agencyl�� <br />FG /wh <br />Exhibit: Agreement with Wittman Enterprises, LLC; <br />25F -3 <br />