Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute an agreement with Toyon Associates, Inc. for Rural Floor Budget Neutrality Appeals Services, Medicare/Medicaid Crossover Bad Debt Recovery Services, Medicare /Medi-Cal Appeals Services, OSHPD Report Preparation Services, Medical Eligible Day Services (POA/Historical), Medicare/Medi-Cal/Short Doyle Cost report Preparation Services, and associated Consulting services, for a total agreement amount not to exceed $850,000, and an agreement term of July 1, 2022 through June 30, 2024.
b. Approve the NMC Chief Executive Officer’s recommendation to accept non-standard automobile insurance provisions within the agreement.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute an agreement with Toyon Associates, Inc. for Rural Floor Budget Neutrality Appeals Services, Medicare/Medicaid Crossover Bad Debt Recovery Services, Medicare /Medi-Cal Appeals Services, OSHPD Report Preparation Services, Medical Eligible Day Services (POA/Historical), Medicare/Medi-Cal/Short Doyle Cost report Preparation Services, and associated Consulting services, for a total agreement amount not to exceed $850,000, and an agreement term of July 1, 2022 through June 30, 2024.
b. Approve the NMC Chief Executive Officer’s recommendation to accept non-standard automobile insurance provisions within the agreement.
SUMMARY/DISCUSSION:
Toyon Associates Inc. (Toyon) provides expert services in areas of reimbursement from state and federal government. Their consulting services includes preparation of state’s Medi-Cal cost reports, federal Medicare cost report, special supplemental cost reports (P-14) to the state, state’s Short Doyle cost reports and annual state’s OSHPD reports. Toyon provides assistance in representing Natividad during scheduled audits and appeals for all state and federal cost and supplemental reports. Toyon provides strategic assistance on reimbursement issues related to Disproportionate Share, Realignment, Bad Debts, Medi-Cal Waiver funding and programs and other reimbursement related initiatives particular to safety net provider (public) hospitals. Toyon Associates Inc. also pursues reimbursable costs available on previously reported years which are available to Monterey County Health System. This is an ongoing process between provider (NMC), State and Federal Government.
This agreement replaces an older agreement with Toyon that went into effect in 2015 and which expires on June 30, 2022.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel reviewed and approved this agreement as to form, and the Auditor-Controller reviewed and approved as to payment provisions. The agreement was reviewed and approved by NMC’s Finance Committee and by its Board of Trustees on June 10, 2022.
FINANCING:
The cost for this agreement is $850,000, of which $425,000 is included in the Fiscal Year 2022-23 Recommended Budget. Amounts for remaining years of the agreement will be included in those budgets as appropriate.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
This agreement is for specialized consulting services, the outcome of which will contribute to retaining or maximizing the financing of public health care services by Monterey County. The services rendered in this agreement provide NMC with the reimbursement expertise that allows for the improvement of financing options under State and Federal regulations, resulting in higher quality of patient care for the families in Monterey County.
__ Economic Development
X_ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Juan Polanco, Chief Hospital Accountant, 783-2372
Approved by: Charles R. Harris, Chief Executive Officer, 783-2551
Attachments:
Toyon Associates, Inc. Agreement
Attachments on file with the Clerk of the Board