Title
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute renewal and amendment No. 4 to the agreement (A-13580) with PARA Healthcare Analytics, LLC for revenue integrity program services, extending the agreement an additional one (1) year period (retroactively from July 1, 2022 through June 30, 2023) for a revised full agreement term of July 1, 2016 through June 30, 2023, and adding $80,000 for a revised total agreement amount not to exceed $454,500.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute renewal and amendment No. 4 to the agreement (A-13580) with PARA Healthcare Analytics, LLC for revenue integrity program services, extending the agreement an additional one (1) year period (retroactively from July 1, 2022 through June 30, 2023) for a revised full agreement term of July 1, 2016 through June 30, 2023, and adding $80,000 for a revised total agreement amount not to exceed $454,500.
SUMMARY/DISCUSSION:
PARA Healthcare Analytics, LLC provides Natividad Medical Center with a web-based revenue integrity program, PARA Data Editor(tm) (PDE). The PDE provides NMC with the ability to analyze, repair, and improve revenue cycle processes. Following are key features of the system:
* Charge Quote-Provide accurate and timely price quotes with EDI (Electronic Data interface) to allow real-time eligibility verification including No Surprise Act Good Faith Estimate Regulations
* Charge Process-Streamline all requests made to the charge master
* Claim/RA Evaluator-Evaluate all claims to ensure proper billing techniques and reimbursement. Analyze denials for follow up
* Contract Analysis-Manage and model all contracts for better reimbursement
* Pricing Data-Access current detailed market data for three separate, defined markets of Natividad competition's prices
* Pricing Iterations-Create pricing sc...
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