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Finance and Management Services <br />www.santa-ana.org/finance <br />Item # 17 <br />City of Santa Ana <br />20 Civic Center Plaza, Santa Ana, CA 92701 <br />Staff Report <br />December 17, 2024 <br />TOPIC: Ambulance and Paramedic Billing and Collection Services <br />AGENDA TITLE <br />Agreement with Wittman Enterprises, <br />Collection Services (Specification No, <br />RECOMMENDED ACTION <br />LLC for Ambulance and Paramedic Billing and <br />24-104) (General Fund) <br />Authorize the City Manager to execute an agreement with Wittman Enterprises, LLC to <br />provide ambulance and paramedic/medical billing and collection recovery services, <br />based on a contingent collection fee rate of 3.75%, for a term beginning January 1, <br />2025 and expiring December 31, 2027, with provisions for three optional one-year <br />extensions (Agreement No. A-2024-XXX). <br />GOVERNMENT CODE §84308 APPLIES: Yes <br />DISCUSSION <br />The Treasury and Customer Service Division of the Finance and Management Services <br />Agency ("FMSA") is responsible for the administration of the City's ambulance/ <br />paramedic billing and cost recovery services. The primary tasks include the following: <br />• Assure the City is reimbursed in a timely manner for emergency medical services <br />("EMS") and transport provided through the City's contracts with the Orange <br />County Fire Authority ("OCFA") and Falck dba Care Ambulance Services <br />("CARE"). <br />• Maximize the legal cost recovery to the City from all resources, including but not <br />limited to, Medicare, Medi-Cal, Private Insurance, and Private Pay for the EMS <br />and transport provided. <br />• Manage provider compliance with Medicare and Medi-Cal to ensure the City has <br />a record of clean claims and a history of proper billing. <br />• Supply comprehensive revenue recovery involving appeal of Medicare, Medi-Cal, <br />and private insurance denials, researching all private pays to find viable <br />insurance, and working with patients to arrange alternate methods of repayment. <br />• Help coordinate patient participation in the City's paramedic subscription program <br />with other insurance coverage payments. <br />• Support the City's efforts in the upcoming contract cycle to develop policies <br />pertaining to billing and collection efforts, as well as hardship guidelines. These <br />