REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
August 19, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
TRICARE Capital and Direct Medical Education Reimbursement Review Agreement with Healthcare Reimbursement Solutions, LLC
End
RECOMMENDATION(S)
Recommendation
Approve TRICARE Capital and Direct Medical Education Reimbursement Review Agreement with Healthcare Reimbursement Solutions, LLC to review TRICARE Capital and Direct Medical Education reimbursement payments received or receivable for fiscal years 2029 and prior and prepare documentation necessary to correct and collect additional reimbursements from TRICARE, on a contingency fee basis of 18%, effective for five years from the date the agreement is fully executed.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). Healthcare Reimbursement Solutions, LLC (HRS) will be paid on a contingency fee basis of 18% of any increased reimbursement generated by HRS' work for fiscal years 2029 and prior. Adequate appropriation and revenue have been included in Arrowhead Regional Medical Center (ARMC) 2025-26 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
HRS will review all TRICARE Capital and Direct Medical Education reimbursement payments received or receivable (including related issues dealing with stale dated, void, or otherwise unclaimed checks) to ARMC for fiscal years ending 2029 and prior. HRS will prepare all documentation necessary to correct and collect the reimbursement from TRICARE for approval and signature by an ARMC representative.
HRS has developed proprietary databases includin...
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