October 15, 2012 - City of Laredo
October 15, 2012 - City of Laredo October 15, 2012 - City of Laredo
DATE: COUNCIL COMMUNICATION 1 SUBJECT: MOTION Consideration to award a contract to Medapoint in the amount of $51,007.00 to 1011 5/20 12 provide web based subscription and technical support to EMS services, collections, medical coding, billing and training services for the term of October 1, 2012 through September 30, 2013. Funding is available through the Health I Department ~ id~et for EMS Billing Services. INITIATED BY: Cynthia Collazo STAFF SOURCE: Hector F. Gonzalez, M.D ., M.P.H. ~ e ~ City u Manager t ~ Health Director PREVIOUS COUNCIL ACTION: On October 17, 2012, Council approved motion to award FY 201 1-2012 contract to Inductive Applications, LLC, now known as Medapoint. BACKGROUND: As of November 20 10, the City of Laredo Health Department (CLHD) initiated the ambulance billing and reconciliation of old bills, conducted training, bought new software and hired Inductive Applications, LLC to develop a database for billing and to assist with the actual billing, medical coding and collections of both new and old accounts. Now known as Medapoint, they also hosts software provided to allow for eligibility documentation for third party billing, analysis and reporting with fully integrated clearinghouse services by Emdeon Business Services to facilitate claims submission through one central location to the insurance carriers. Other responsibilities include: Explanation of software, its capabilities and limitation Corrective steps to access clearinghouse if database is not available Billing support and copy of records every quarter Training for electronic claims processing and report retrieval Describe acceptable controls to safeguard the fidelity, integrity, privacy and HIPAA compliance of the City of Laredo data Details what the standard of support is, the timeliness of response and the examples of value service fees This contract also includes the fees for maintenance and support services and hosting of the software. Medapoint provides standard support services for resolving login issues, basic usage questions and defectlservice outage reporting. Any additional integration or configuration on the part of the City of Laredo Health Department (CLHD) is not included in the fee. At the request of the CLHD, Medapoint can facilitate the integration and custom development efforts that are above and beyond the scope of services, subject to mutual written agreement. FINANCIAL: The account that will be used is 226-2913-543-5564. RECOMMENDATION: I STAFF: Recommends that Council approve I the motion.
COUNCIL COMMUNICATION SUBJECT: MOTION CONSIDERATION TO ACCEPT A MEMORANDUM OF UNDERSTANDING WITH THE COUNTY OF WEBB FOR THE CITY OF LAREDO HEALTH DEPARTMENT TO PARTICIPATE IN THE REGIONAL HEALTHCARE PARTNERSHIP HEALTH CARE TRANSFORMATION AND QUALITY IMPROVEMENT 11 15 WAIVER WHICH WILL PROVIDE ADDITIONAL FUNDING FOR THE HEALTH DEPARTMENT TO PROVIDE PREVENTIVE HEALTH CARE, REDUCE HOSPITALIZATION AND I INDIGENT CARE COSTS. INITIATED BY: STAFF SOURCE: Cynthia Collazo Hector F. Gonzalez, M.D., M.P.H. ~ e ~ City u Manager t ~ Health Director PREVIOUS COUNCIL ACTION: None. BACKGROUND: Regional Healthcare Partnerships (RHPs) are required under the Texas Healthcare Transformation and Quality Improvement 1 1 15 Waiver and are to be formed around anchor hospital districts or Counties that will serve as a single point of contact to coordinate RHP activities and the distribution of funds. By action of the Webb County Commissioners Court at the meeting held on March 13, 2012, the Court approved that Webb County develop a healthcare partnership region with itself as an anchor entity and at a the meeting held on September 24, 2012 the court approved this MOU with the City of Laredo Health Department to join the healthcare partnership Region 20 anchored by Webb County. Webb County agrees to: Work to ensure a smooth transition with the implementation of the 1 I 15 Waiver Program. Maintain frequent and consistent communication throughout the transition period and ongoing to ensure the needs and interests of each Regional Partner are appropriately articulated and represented. Inform Regional Partners of any legislation or HHSC directives that may affect them. Work together on areas of joint interest to facilitate and enhance program planning and implementation, such as health promotion and prevention of disease, control and management of chronic disease and increasing access to high quality health services. Comply with all reporting requirements that may be mandated by the program. Assure that all reimbursement for RHP (DRISP) services provided by the CLHD as an IGTIpublic health provider is solely reimbursed to the City of Laredo Health Department (CLHD) Assure that the CLHD will be allocated any other public health resources such as the 5% public health allocation available through the RHP. City of Laredo Health Department agrees to: Work to ensure a smooth transition with the implementation of the 1 115 Waiver Program. Maintain frequent and consistent communication throughout the transition period and ongoing to ensure the needs and interests of each Regional Partner are appropriately articulated and represented. Coordinate with IGT providers to offer transformational services or uncompensated care as basis of receiving sponsored payments. Comply with all reporting requirements that may be mandated by the program. Work to meet all performance metrics in plan. Work together on areas of joint interest to facilitate and enhance program planning and implementation, such as health promotion and prevention of disease, control and management of chionic disease and increasing access to high health services. May assist Anchor with administrative support for the RHP as will be detailed in a separate agreement. FINANCIAL: None. RECOMMENDATION: I STAFF: Recommends that Council approve I the motion.
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- Page 270 and 271: DATE: 10/15/12 INITIATED BY: Carlos
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DATE:<br />
COUNCIL COMMUNICATION<br />
1 SUBJECT: MOTION<br />
Consideration to award a contract to Medapoint in the amount <strong>of</strong> $51,007.00 to<br />
1011 5/20 12 provide web based subscription and technical support to EMS services,<br />
collections, medical coding, billing and training services for the term <strong>of</strong> <strong>October</strong><br />
1, <strong>2012</strong> through September 30, 2013. Funding is available through the Health<br />
I Department ~ id~et for EMS Billing Services.<br />
INITIATED BY:<br />
Cynthia Collazo<br />
STAFF SOURCE:<br />
Hector F. Gonzalez, M.D ., M.P.H.<br />
~ e ~ <strong>City</strong> u Manager t ~<br />
Health Director<br />
PREVIOUS COUNCIL ACTION: On <strong>October</strong> 17, <strong>2012</strong>, Council approved motion to award<br />
FY 201 1-<strong>2012</strong> contract to Inductive Applications, LLC, now known as Medapoint.<br />
BACKGROUND:<br />
As <strong>of</strong> November 20 10, the <strong>City</strong> <strong>of</strong> <strong>Laredo</strong> Health Department (CLHD) initiated the ambulance<br />
billing and reconciliation <strong>of</strong> old bills, conducted training, bought new s<strong>of</strong>tware and hired<br />
Inductive Applications, LLC to develop a database for billing and to assist with the actual<br />
billing, medical coding and collections <strong>of</strong> both new and old accounts.<br />
Now known as Medapoint, they also hosts s<strong>of</strong>tware provided to allow for eligibility<br />
documentation for third party billing, analysis and reporting with fully integrated clearinghouse<br />
services by Emdeon Business Services to facilitate claims submission through one central<br />
location to the insurance carriers. Other responsibilities include:<br />
Explanation <strong>of</strong> s<strong>of</strong>tware, its capabilities and limitation<br />
Corrective steps to access clearinghouse if database is not available<br />
Billing support and copy <strong>of</strong> records every quarter<br />
Training for electronic claims processing and report retrieval<br />
Describe acceptable controls to safeguard the fidelity, integrity, privacy and HIPAA<br />
compliance <strong>of</strong> the <strong>City</strong> <strong>of</strong> <strong>Laredo</strong> data<br />
Details what the standard <strong>of</strong> support is, the timeliness <strong>of</strong> response and the examples <strong>of</strong> value<br />
service fees<br />
This contract also includes the fees for maintenance and support services and hosting <strong>of</strong> the<br />
s<strong>of</strong>tware. Medapoint provides standard support services for resolving login issues, basic usage<br />
questions and defectlservice outage reporting. Any additional integration or configuration on the<br />
part <strong>of</strong> the <strong>City</strong> <strong>of</strong> <strong>Laredo</strong> Health Department (CLHD) is not included in the fee. At the request<br />
<strong>of</strong> the CLHD, Medapoint can facilitate the integration and custom development efforts that are<br />
above and beyond the scope <strong>of</strong> services, subject to mutual written agreement.<br />
FINANCIAL: The account that will be used is 226-2913-543-5564.<br />
RECOMMENDATION: I STAFF: Recommends that Council approve<br />
I the motion.