AMENDMENT TO THE AGREEMENT

WITH CHIS, INC.

 

THIS AGREEMENT, entered into this ______ day of _______________________, 2002, by and between the COUNTY OF SAN MATEO (hereinafter called "County") and CHIS, INC. (hereinafter called "Contractor"),

 

W I T N E S S E T H:

 

WHEREAS, on October 3, 2000, the parties hereto entered into an agreement (hereinafter referred to as the "Original Agreement") for the furnishing of certain services by Contractor to County as set forth in that Original Agreement; and

 

WHEREAS, it is now the mutual desire and intent of the parties hereto to amend and clarify that Original Agreement;

 

NOW, THEREFORE, IT IS HEREBY AGREED between the parties that the Original Agreement is amended as follows:

 
 

1.

All references to San Mateo County General Hospital are hereby amended to read "San Mateo Medical Center".

 
 

2.

Section 2, Payments, Paragraph A, Maximum Amount, of the Original Agreement is hereby amended to read as follows:

 
 

"2.

Payments

 
   

A.

Maximum Amount. In full consideration of Contractor's performance of the services described in Schedule A, the amount that County shall be obligated to pay for services rendered under this Agreement shall not exceed THREE HUNDRED NINE THOUSAND TWO HUNDRED DOLLARS ($309,200) for the contract term."

 
 

3.

Section 6, Non-Discrimination, of the Original Agreement is hereby amended to read as follows:

 
 

"6.

Non-Discrimination

 
   

Contractor shall comply with the non-discrimination requirements described in Schedule C, which is attached hereto, and incorporated herein.

Contractor shall comply with County admission and treatment policies which shall provide that patients are accepted for care without discrimination on the basis of race, color, religion, sex, sexual orientation, national origin, age, handicap, or political affiliation.


Violation of the non-discrimination provisions of this Agreement shall be considered a breach of this Agreement and subject Contractor to penalties, to be determined by the County Manager, including, but not limited to:

 
   

i.

termination of this Agreement;

 
   

ii.

disqualification of Contractor from bidding on or being awarded a County contract for a period of up to three (3) years;

 
   

iii.

liquidated damages of TWO THOUSAND FIVE HUNDRED DOLLARS ($2,500) per violation;

 
   

iv.

imposition of other appropriate contractual and civil remedies and sanctions, as determined by the County Manager.

 
   

To effectuate the provisions of this paragraph, the County Manager shall have the authority to:

 
   

i.

examine Contractor's employment records with respect to compliance with this paragraph;

 
   

ii.

set off all or any portion of the amount described in this paragraph against amounts due to Contractor under the Contract or any other contractor between Contractor and County.

 
   

Contractor shall report to the County Manager the filing by any person in any court of any complaint of discrimination or the filing by any person of any and all charges with the Equal Employment Opportunity Commission, the Fair Employment and Housing Commission or any other entity charged with the investigation of allegations within thirty (30) days of such filing, provided that within such thirty (30) days such entity has not notified Contractor that such charges are dismissed or otherwise unfounded. Such notification shall include the name of the complainant, a copy of such complaint, and a description of the circumstance. Contractor shall provide County with a copy of its response to the complaint when filed.

 
   

With respect to the provision of employee benefits, Contractor shall comply with the County Ordinance which prohibits contractors from discriminating in the provision of employee benefits between an employee with a domestic partner and an employee with a spouse".

 
 

4.

Section 13, HIPAA Compliance, is hereby added to the original agreement.

 
 

"13.

HIPAA Compliance.

 
   

Contractor shall comply with the Business Associate Requirements indicated in

Schedule D".

 
 

5.

Schedules A and B of the Original Agreement are hereby amended to read as follows:

 
   

"Schedule A

 
 

A.

In consideration of the payments set forth in Schedule B, Contractor shall perform the following services:

 
   

1.

Code/abstract and data input all inpatient medical records, two days a week, using ICD-9-CM/CPT coding guidelines.

 
   

2.

Code/abstract and data input Long Term Medical Records, two days a week, using ICD-9CM/CPT coding guidelines.

   
   

3.

Code/abstract and data input all Day Surgery medical records, two days a week, using ICD-9CM/CPT coding guidelines.

 
   

4.

Code/Abstract and data input Emergency Department Records, two times a week, using ICD-9CM/CPT coding guidelines.

 
   

5.

Provide proof of ongoing evaluation of contracted coders, provide coding guidelines, and provide semi-annual Quality Measurement reports to San Mateo Medical Center to assure competency and optimization of the coding quality. Reports will include testing date and scores.

 
   

6.

Submit the number of inpatient charts completed each day to the Director of Medical Records for verification. The Director of Medical Records will verify the number of charts pulled and charts coded.

   

7.

The services indicated in Items 1 through 6 will be provided to the Medical Records Department two times a week to code prepared medical records.

 
   

8.

Provide a replacement for the coder when coder is on vacation, ill, or has an emergency, which prevents the coder from providing services. If a backup coder is not available, upon re-instatement of staff, backlog will be completed in a reasonable manner of time.

 
   

9.

Provide support staff to complete requested clerical tasks (e.g., purging, screening) as available by Contractor.

 
   

10.

Contractor shall not exceed a five percent (5%) error rate on coded discharges.

 
   

11.

Contractor shall keep all medical and patient information confidential and will comply with facility policy by having each coder sign a confidentiality statement complying with the confidentiality policies and procedures of the facility.

 
   

12.

Training and education in coding for CPT and ICD-9-CM will be negotiated as needed at additional cost.

 
   

13.

Codes shall be applied which reflect the severity and completeness of the record as presented at the time of coding.

 
   

14.

Records will be abstracted and input according to Facility's Policies and Procedures.

 
 

B.

County agrees to provide office space for Contractor's assigned employee.

 
 

Schedule B

 
 

A.

In consideration of the services described in Schedule A, Contractor shall be reimbursed according to the following fee schedule:

 
   

Discharge- Coded, Abstracted and Input

$ 18.00

   

Outpatient Surgery Discharge - Coded, Abstracted and Input

$ 15.00

   

Emergency Room Record - Coded (70 to 100 records per day)

$120.00/day

   

Emergency Room Record - Abstracted and Input

$ 4.50

   

Skilled Nursing Discharge - Coded, Abstracted and Input

$ 18.00

   

Clinic Record - Coded

$ 1.00

   

Clerical

$ 25.00/hour

 
 

B.

All expenses incurred by Contractor are Contractor's responsibility.

 
 

C.

The term of this agreement is September 1, 2000 through August 31, 2003. County agrees to pay the invoices within 30 days of invoice date. Total payment for services under this agreement shall not exceed THREE HUNDRED NINE THOUSAND TWO HUNDRED DOLLARS ($309,200)".

 
 
 

NOW, THEREFORE, IT IS HEREBY AGREED BY THE PARTIES that:

 
 

1.

These amendments are hereby incorporated and made a part of the Original Agreement and subject to all provisions therein.

 
 

2.

All provisions of the Original Agreement, including all references to audit and fiscal management requirements unless otherwise amended hereinabove, shall be binding on all the parties hereto.

 
 

3.

All provisions of the Original Agreement, including all monitoring and evaluation requirements, shall be applicable to all amendments herein.

 

NOW, THEREFORE, IT IS HEREBY AGREED BY THE PARTIES that the Agreement of October 3, 2000, be amended accordingly.

 
 

IN WITNESS WHEREOF, the parties hereto, by their duly authorized representatives, have affixed their hand on the day and year first above written.

 
 
 

COUNTY OF SAN MATEO

CHIS, INC.

 
 
 

By:

By:

    Jerry Hill, President, Board of Supervisors
    San Mateo County

    Mark Perlmutter, President
    C.H.I.S., Inc.

 
 

Date:

Date:

 
 
 

ATTEST:

 
 
 

By:

Clerk of Said Board

 
 

Date: