Agenda

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County Administrator's Report 9. 3.

BCC Regular Meeting

Budget & Finance Consent

Meeting Date:	05/02/2019
Issue: Page Wolfberg & Wirth Client Agreement with Escambia County
From:	MATTHEW COUGHLIN
Department:	Public Safety
CAO Approval:

RECOMMENDATION:

Recommendation Concerning the Client Agreement: Flat Fee Project Between Page, Wolfberg & Wirth and Escambia County - Matthew Coughlin, Assistant County Administrator

That the Board take the following action concerning the Client Agreement:

A. Authorize the Interim County Administrator to sign the Client Agreement with Page, Wolfberg & Wirth (PWW) for a total flat fee of $5,000; and

B. Authorize a payment to be paid up front at a 5% discount.

Page, Wolfberg & Wirth will be providing a claims audit by reviewing 30 random Medicare Part B claims. The claims audit will include a review of all relevant documentation for the selected claims including a detailed review of our crew's clinical documentation to include, but not limited to patient care reports, patient signature forms, Medicare remittance reports, and dispatch intake records. After reviewing the documentation, PWW provided feedback on ICD 10 coding, modifier coding, supporting documentation, medical necessity determinations and reasonableness determination to ensure the Escambia County is compliant with Medicare rules and regulations. This audit is a self-imposed audit to ensure compliance that EMS Billing conducts every other year.

Quotes were requested via Vendor Registry. No other vendors responded to the request.

[Funding Source: Fund 408, Emergency Medical Services, Cost Center 330603, EMS Billing]

BACKGROUND:

Page, Wolfberg & Wirth will be providing a claims audit by reviewing 30 random Medicare Part B claims. The claims audit will include a review of all relevant documentation for the selected claims including a detailed review of our crews clinical documentation to include but not limited to patient care reports, patient signature forms, Medicare remittance reports, and dispatch intake records. After reviewing the documentation PWW provide feedback on ICD 10 coding, modifier coding, supporting documentation, medical necessity determinations and reasonableness determination to ensure the Escambia County is compliant with Medicare rules and regulations. This audit is a self-imposed audit to ensure compliance that EMS Billing conducts every other year.

BUDGETARY IMPACT:

Funds are available in Fund 408 Emergency Medical Services, Cost Center 330603, EMS Billing.

LEGAL CONSIDERATIONS/SIGN-OFF:

Senior Assistant County Attorney Kristin Hual has reviewed and approved the Agreement as to form and legal sufficiency.

PERSONNEL:

N/A

POLICY/REQUIREMENT FOR BOARD ACTION:

Board policy requires Board approval of all Agreements.

IMPLEMENTATION/COORDINATION:

Upon approval, Public Safety will provide PWW with the requested documents to proceed with the claims audit.

Attachments
PWW Client Agreement