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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health System
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DATE:
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February 6, 2009
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BOARD MEETING DATE:
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March 31, 2009
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Jean Fraser, Chief, Health System
Sang-ick Chang, MD, Chief Executive Officer,
San Mateo Medical Center
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SUBJECT:
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Amendment to the Agreement with Toyon Associates, Inc.
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RECOMMENDATION:
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Adopt a Resolution authorizing the President of the Board to execute Amendment No. 1 to the Agreement with Toyon Associates, Inc. to provide reimbursement services for the term March 1, 2007 through February 28, 2009 for San Mateo Medical Center, with the amendment increasing the maximum obligation of the Agreement by $100,000, for a new maximum total fiscal obligation of $300,000.
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VISION ALIGNMENT:
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Commitment: Ensure basic health and safety for all.
Goal 5: Provide residents access to healthcare and preventive care.
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The Agreement contributes to this commitment and goal by providing cost recovery and collection services for San Mateo Medical Center which increases revenue used to provide services to patients.
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Performance Measure
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Measure
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FY 2007-08
Actual
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FY 2008-09
Projected
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Number of Regulatory Report Files Prepared and Reviewed
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20
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22
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BACKGROUND:
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Toyon Associates, Inc. (Toyon) has been providing third-party reimbursement consulting services to San Mateo Medical Center (SMMC) for the past several years. Toyon is familiar with SMMC’s operations and challenges. Toyon’s knowledge of Medicare and Medi-Cal regulatory matters, combined with their knowledge of SMMC, allows for high quality, efficient services, enabling SMMC to optimize its reimbursements and maintain compliance with reporting requirements.
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DISCUSSION:
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Additional services are required from Toyon during this Agreement period. Those services include reviewing the monthly contractual allowance reserve computations; providing assistance during the course of Medicare and Medi-Cal cost report audits; preparing the Medi-Cal Federally Qualified Health Center (FQHC) Change of Service Requests; modifying contractual allowance templates and payment study; assisting with the preparation and review of the annual FY 2007-08 Medicare and Medi-Cal cost reports; reviewing the annual FY 2007-08 Office of Statewide Health Planning and Development (OSHPD) Disclosure Report; reviewing AB 915, SB 1732 and Skilled Nursing Facility Supplemental reports; preparing the FQHC unit reconciliation for the eleven clinics; and preparing the Waiver P14 workbook. This Agreement was delayed in submission to the Board due to the extended medical leave of the Contracts Coordinator, who returned to work on January 5, 2009. This Amendment to the Agreement was delayed due to absences and turnover of key staff at SMMC.
The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.
County Counsel has reviewed and approved this Amendment.
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FISCAL IMPACT:
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The term of this Agreement is March 1, 2007 through February 28, 2009. This Amendment increases the maximum amount payable by $100,000, for a new maximum of $300,000. Funds are included in the SMMC FY 2008-09 Adopted Budget. The Net County Cost is $300,000.
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