OCCU-MED, LTD. 1 - 2015 - Laserfiche WebLink

Home Browse Search

City of Santa Ana Response to Request for Proposal (RPP) Medical Services Review 1 2/9/15 Assurance of excellent clinic performance issues, as needed • Periodic reports documenting the results of Occu-Med's work QA2fee s that the City would pay directly to the medical clinic, but without all the hassle of dealing with "MEDICAL BILLING INVOICES" Occu-Med began its Clinic Bill Review service in 2006 as part of its service to ITT, a company charged with deploying employees to Iraq, Kuwait, Qatar and Afghanistan for various major federal projects in that region. We have evaluated more over 100,000 clinic invoices for pre -placement exams over this span of time and have been absolutely appalled at our findings: a) more than 9217c of these clinic invoices were initially submitted with inaccuracies (wrong charges for tests not performed, charges for unnecessary testing performed, duplicate billings); and b) much worse is the fact that nearly all of the incorrect invoices were inaccurate in favor of the clinic. Occu-Med requires- the submission of an accurate invoice for payment—at vvhich point we immediately submit payment to the clinic. We submit our invoice to the City as a single fee (as negotiated) for an exam— as the City's request our invoice will also include a list of itemized charges, hovvever, the charges will always add up to the pre -agreed negotiated fee. Clients have informed us that this "bill review" service alone has literally saved days of staff time. Another client, upon learning of this billing trend, audited the previous year's invoices and was able to obtain a refund of more than $3,000 for exams performed. On the first day of each month, Occu-Med will submit an invoice to the City for the prior month's medical services and examinations. Our invoices will be itemized by the date of service, name of person examined, type of physical performed, itemized charges for each type of physical (if applicable), a subtotal for each person examined, and a total of charges for the month being billed. Our knowledge of the precise medical exam components that are of value for each specific job class (eliminating useless, improper and overly expensive medical tests), our ability to negotiate fair and reasonable charges from providers for medical exams, our national buying power for laboratory services (blood chemistry panels and urine drug screens), and our careful auditing of clinic and laboratory charges altow us to offer a vastly expanded array of services to our clients for fees typically charged by their medical provider forjust the medical examination and laboratory charges. OCCLI-Med vv ill in -turn be able to submit clear and straightforward monthly invoices to the City (see APPENDIX I-1). This stands in contrast to the amorphous and often incorrect invoices typically submitted 19 fOccu-Med