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File #: A 25-452    Name: Healthcare Coding & Consulting Services, LLC Amendment No. 1
Type: BoS Agreement Status: Passed
File created: 11/7/2025 In control: Board of Supervisors
On agenda: 12/9/2025 Final action: 12/9/2025
Title: Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 1 to the agreement (A-17040) with Healthcare Coding & Consulting Services, LLC for U.S. base medical record coding and consulting services, adding $780,000 for a revised total agreement amount not to exceed $1,380,000 with no change to the existing term of August 22, 2024 through August 21, 2026.
Attachments: 1. Board Report, 2. Healthcare Coding & Consulting Services, LLC Amendment No. 1, 3. Healthcare Coding & Consulting Services, LLC Original Agreement
Title
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 1 to the agreement (A-17040) with Healthcare Coding & Consulting Services, LLC for U.S. base medical record coding and consulting services, adding $780,000 for a revised total agreement amount not to exceed $1,380,000 with no change to the existing term of August 22, 2024 through August 21, 2026.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 1 to the agreement (A-17040) with Healthcare Coding & Consulting Services, LLC for U.S. base medical record coding and consulting services, adding $780,000 for a revised total agreement amount not to exceed $1,380,000 with no change to the existing term of August 22, 2024 through August 21, 2026.

SUMMARY:

Healthcare Coding and Consulting Services (HCCS) provides coding of accounts support, utilizing International Classification of Diseases Tenth Revision (ICD10-CM/PCS), Current Procedural Terminology (CPT), Evaluation /Management Levels (E/M), APC-DRG Review and Auditing, HCPCs Medical Supply conventions to Natividad designated medical encounters and Education and Training to Natividad as changes occur within the coding spectrum.

DISCUSSION:

HCCS provides coding support for Specialty, Medical Groups and Emergency Services to include both trauma and non-trauma services and the appending of charges for all coded accounts executed by them. This vendor was chosen due to the complexity and distinctiveness of both services (general and trauma) and the various coding requirement, complexities and guidelines of state and federal regulatory entities. HCCS coding support ensures quality requirements mandated by state and federal regulations are submitted timely in addition to accurate reimbursement from all payers.

HCCS has certified coders to review complicated encounters; cond...

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