25A - AGMT - MEDICAL SRVS REVIEW

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I I City of Santa Ana Response to Request for Proposal (RFP) Medical Sen ices Review 2/9/15 r r Assurance of excelIcut clinic performance issues, as needed Periodic reports documenting the results of Occu -Med's [cork QA' fees that the City would pay directly to the medical clinic, but Without all the hassle of dealing with "MEDICAL BILLING INVOICES" OCCU -Mcd 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 carious 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 findines: a) more than 92% 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 im oices were inaccurate in favor of the clinic, Occu -Med requires the submission of an accurate invoice for paN Trial. Which 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 my oice will also include it list of itemized charges, however, the charges will always add up to the pre - agreed negotiated fee, Clients have informed as 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 or more than $3,000 for exams performed. On the first day ofeach 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 pert'ornted, itemized charges for each type of physical (if applicable), a subtotal for each person examined, and a total ofcharges for the month being billed. Our knowledge of the precise medical exam components that are of value for each specificjob class (eliminating useless, improper and overly expensive medical tests),out- ability to negotiate lair and reasonable charges from providers for medical exams. our national buying poorer for laborautr) services (blood chemistry panels and wine drug screens), and our careful auditing or clinic and laboratory charges allow us to offer a vastly expanded array of services to Our Clients for fees typically charged fly their medical provider far just the medical examination and laboratory charges. OCCU -Med Will in -tit be able to su bin it clear Lind strauigh I forwa rd month invoices to the Cit) (see APPENDIX B). This stands in contrast to the amorphous and Often incorrect invoices ty pica lly submitted T-IK 19 t Occu -Med 25A -35