Compensation & Payment for Ambulance/Medical Billing EXHIBIT B
Date: March 1, 1995
COMPENSATION AND METHOD OF PAYMENT
for Amhulancp and Medira1 Billing, Tnr
Section 1. BASIC SERVICES/TASK(S)
The COUNTY shall compensate the PROVIDER for providing and performing the
Task(s) set forth and enumerated in EXHIBIT "A" , entitled "SCOPE OF SERVICES", as
follows:
NOTE: A Lump Sum (L.S. 1 or Not-to-Exceed (N.T.E. 1 amount of compensation to be
paid the dPPROVIDER
IDER shouldtberiestablishedbind"set forth below for each task or
sub-task
inalcate
Basis of
Amount of Compensation
Numbbk
Task Title Compensation LS or LS er
1. The Provider is to setup and initiate $7,150.00
NTE
EMS billing service transition prior to
April 1, 1995. The fees are as sub-
mitted by the Provider on the EMS
Billing Proposal #P-950052.
2. Invoice all billable ambulance calls; 6% of Monthly LS
receive through a financial institution Collections
lock box system all receipts; deposit
and post all revenue on behalf of Lee
aunty EMS to be reimbursed on 6% of
total monthly collections. The Provider
will submit to Lee County an invoice
with appropriate documentation verifying
monthly deposits. -
3. Contract with a State approved Collection 33 1/3% on
Agency for the purpose of pursuing all monthly
uncollected revenue on EMS billing bad debt
accounts exceeding 180 days. The collection
Provider will arrange for all bad debt
collection to be deposited into a lock
box system at a designated financial
. institution. The Provider will be paid
33 1/3% of total monthly bad debt
collection. The Provider is responsible
for reimbursing a subcontracted
Collection Agency all mutually agreed
upon service fees.
nil AL
(Unless list is continued on next page)
Paop R1 of B2 '
1
•
•
EXHIBIT B (Continued)
• Section 1 . BASIC SERVICES/TASKS (Continued)
Basis of
Task Amount of Compensation
e
Number Task Title Compensation LS or NTE
4. Accelerated bonus to be paid to the
Provider on monthly collections reaching
the following percentages.
Seventy Percent (70%) 1% NTE
Seventy Five Percent (75%) 1 3/4% NTE -
Eighty Percent (80%) 2 1/2% NTE
•
The Provider will submit for bonus -
reimbursement the appropriate documenta-
tion verifying the percentage of monthly
collections to billables.
5. Monthly collections falling below 55% - -
on monthly billables during any
ral_endar month, the Provider will be
assessed a 2 1/2% penalty on the approved
6% reimbursement fee.
6. Lee County will deduct from the Providex ,
the monthly lock box charges assessed
by the contracted financial institution.
7. Lock box fees to be deducted will vary
ft-Liu month to month. Charges are
predicated on the total amount of
activity that transpires in any given
amount.
Lee County will be responsible for the
following lock box service agreement
fees: •
*Account Maintenance
*Credits
•
*Encore + Account Maintenance
*Encore + Detail per item
IUlAL
(Unless list is continued on next page)
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