REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 25, 2024
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Contract with Xtend Healthcare, LLC, for Performance Audits
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Contract No. 4400017400 with Xtend Healthcare, LLC, expanding the scope of the current contract to include coding audits of inpatient and outpatient encounters to determine coding and documentation accuracy, increasing the annual not-to-exceed contract amount by $50,000, from $200,000 to $250,000 with a total not-to-exceed contract amount of $750,000, with no change to the contract term of June 4, 2021 through June 30, 2026.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The total cost of $750,000 is funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in the Arrowhead Regional Medical Center (ARMC) 2023-24 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
The amendment will allow ARMC to provide data related to inpatient and outpatient encounters per calendar quarter to Xtend Healthcare, LLC (Xtend) for the assessment of the documentation and the accuracy of coding assignments, claim submissions, and payments determinations, using coding guidelines set by Centers of Medicare and Medicaid Services (CMS); American Medical Association; American Hospital...
Click here for full text