REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
January 24, 2023
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Agreement with Toyon Associates, Inc. for Regulatory Report Preparation, Consulting, Medicare Audit Appeal, and Cost Report Reopening Services
End
RECOMMENDATION(S)
Recommendation
Approve Agreement with Toyon Associates, Inc. to prepare annual regulatory reports and for consulting services, Medicare audit appeal services, and cost report reopening services in the amount not-to-exceed $4,543,900 for the period of April 20, 2023 through April 19, 2028, with the exception of Medicare audit appeal service and cost reopening services, which will continue until resolved.
(Presenter: William L. Gilbert, Director, 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). The total amount of $4,543,900 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 are included in the Arrowhead Regional Medical Center (ARMC) 2022-23 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
This Agreement will allow ARMC to work closely with Toyon Associates, Inc. (Toyon) to prepare various reports which are required to be filed with ARMC's regulatory authorities and to respond to audits conducted by various agencies with responsibility of ARMC's clinical and administrative operations. ARMC will also receive consulting services to assist ARMC in obtaining...
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