REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 10, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Professional Services Agreement for the Appeal of Cost Report Adjustments and Cost Report Reopening of the Cost Report for Fiscal Year 2013
End
RECOMMENDATION(S)
Recommendation
Approve Professional Services Agreement with Healthcare Reimbursement Services, Inc., for the appeal of cost report adjustments and cost report reopening of the cost report for fiscal year 2013, effective upon execution until all relevant appeals and cost report reopening are resolved, on a contingency fee basis of 18%.
(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.
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). Healthcare Reimbursement Services, Inc. (HRS) will be paid on a contingency fee basis of 18% of any payment reduction in liability that it achieves for Arrowhead Regional Medical Center (ARMC) in its appeal or cost report reopening to the Provider Reimbursement Review Board (PRRB) for ARMC's cost report for fiscal year 2013. Adequate appropriation and revenue have been included in ARMC's 2024-25 budget and will be included in any future recommended budgets.
BACKGROUND INFORMATION
On an annual basis, healthcare providers that receive reimbursement from Medicare are required to submit a Medicare cost report. The cost report is a comprehensive financial document that details the provider's costs of delivering care, information about the provider's services and clinical training programs, revenues, and the proportion of services provided to Medicare beneficiari...
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