25B - AGMT - BILLING SRVS - Laserfiche WebLink

Home Browse Search

First Amended Agreement for Paramedic /Medical Billing and Collection Services May 16, 2017 Page 2 In addition to administering the City's paramedic /medical billing and collection services agreement, the Treasury Division is responsible for managing the City's Paramedic Subscription Program. Effective July 1, 2017, over 7,300 City households are projected to be participating in the program at an annual membership fee of $55.65 generating over $400,000 annually. As an optional add -on, the Amended Agreement proposes that Wittman promote, administer, and collect the City's Paramedic Subscription Program. Optional services to be performed by Wittman and related costs are as follows: An initial mass mailing to promote participation in the City's Paramedic Subscription Program. The initial mass mailing list will total approximately 20,000 accounts. • An annual renewal mailer to all registered Paramedic Subscription Program members. • Generate and send a Paramedic Subscription Program membership mailer to all non - subscription paramedic /medical service recipients on an ongoing basis. • Collect all Paramedic Subscription Program applications and membership fees. o The proposed cost for Wittman's Paramedic Subscription Program service will be applied to fees collected as follows: ■ Initial and subsequent renewal mailings - $1.10 per account, plus prepaid return envelope postage charge ($0.49) per mailer. ■ Administration of the City's subscription program: • (Year 1)- 12% of subscription membership fees collected. • (Year 2) - 11% of subscription membership fees collected. In order to implement the optional Paramedic Subscription Program through Wittman, the Centers for Medicare & Medicaid Services (CMS) require that a client jurisdiction maintain a certain paramedic subscription fee threshold to meet Medicare Part B cost - sharing guidelines. This would require the City to increase its proposed 2017 -18 fiscal year subscription fee from $55.65 to $66.59 ($65.00 CMS threshold fee, plus $1.59 postage and handling charge). As such, the proposed optional fee has been incorporated into the 2017 -18 Miscellaneous Fee Resolution. Participation in the optional City Paramedic Subscription proposal is elective on the part of the City and can be exercised by the City Manager or his designee for the first agreement year, one hundred - twenty (120) days prior to January 1, 2018, and thereafter one hundred -twenty (120) days prior to July 1st for any subsequent agreement year. Based on the potential to more efficiently promote and administer the City's Paramedic Subscription Program and thereby expand participation by Santa Ana residents, staff recommends inclusion of this option. 25B -2