File #: A 22-022    Name: Toyon Associates, Inc. Amendment No. 3
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 1/18/2022 In control: Board of Supervisors
On agenda: 2/1/2022 Final action: 2/1/2022
Title: Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 3 to the agreement (A-13111) with Toyon Associates, Inc. for 1. Rural Floor Budget Neutrality Appeals Services; and 2. Medicare/Medicaid Crossover Bad Debt Recovery Services; and 3. Medicare /Medi-Cal Appeals Services; and 4. OSHPD Report Preparation Services; and 5. Medical Eligible Day Services (POA/Historical); and 6. Medicare/Medi-Cal/Short Doyle Cost report Preparation Services, and 7. Consulting services, adding $385,000 for a revised total agreement amount not to exceed $2,385,000, with no change to the agreement term of April 29, 2016 through June 30, 2022.
Attachments: 1. Board Report, 2. Toyon Associates, Inc. Amendment 3, 3. Toyon Associates, Inc. Amendment 2, 4. Toyon Associates, Inc. Amendment 1, 5. Toyon Associates, Inc. Agreement, 6. Completed Board Order Item No. 20
Related files: A 18-278, A 18-308
Title
Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 3 to the agreement (A-13111) with Toyon Associates, Inc. for 1. Rural Floor Budget Neutrality Appeals Services; and 2. Medicare/Medicaid Crossover Bad Debt Recovery Services; and 3. Medicare /Medi-Cal Appeals Services; and 4. OSHPD Report Preparation Services; and 5. Medical Eligible Day Services (POA/Historical); and 6. Medicare/Medi-Cal/Short Doyle Cost report Preparation Services, and 7. Consulting services, adding $385,000 for a revised total agreement amount not to exceed $2,385,000, with no change to the agreement term of April 29, 2016 through June 30, 2022.
Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 3 to the agreement (A-13111) with Toyon Associates, Inc. for 1. Rural Floor Budget Neutrality Appeals Services; and 2. Medicare/Medicaid Crossover Bad Debt Recovery Services; and 3. Medicare /Medi-Cal Appeals Services; and 4. OSHPD Report Preparation Services; and 5. Medical Eligible Day Services (POA/Historical); and 6. Medicare/Medi-Cal/Short Doyle Cost report Preparation Services, and 7. Consulting services, adding $385,000 for a revised total agreement amount not to exceed $2,385,000, with no change to the agreement term of April 29, 2016 through June 30, 2022.


SUMMARY/DISCUSSION:

Toyon Associates Inc. 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 Medical Center during scheduled audits and appeals for all state and federal cost and supplemental reports. Toyon...

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