HomeMy WebLinkAboutAgenda - 05-17-2005-5kORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: May 17, 2005
Action Age
Item No.
SUBJECT: Blue Cross Blue Shield of North Carolina Ambulance Service Contract
DEPARTMENT: Revenue PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
BCBSNC Contract w/Exhibit
Table -BCBSNC Fee Schedule
Disclosure
INFORMATION CONTAGT:
Jo Roberson, ext. 2727
TELEPHONE NUMBERS:
Hillsborough 732-8181
Chapel Hill 968-4501
Durham 688-7331
Mebane 336-227-2031
PURPOSE: To approve a contract to allow the direct payment of insurance reimbursements to
Orange County from Blue Cross Blue Shield of North Carolina (BCBSNC) far Emergency
Management ambulance services.
BACKGROUND: Since Orange County began charging for the Emergency Management
ambulance service in November 1996, insurance claims have been filed on behalf of all clients.
Shortly after Orange County began charging for the Emergency Management ambulance
service, discussions were held with BCBSNC concerning the County's possible participation as
a provider under the company's insurance program. BCBSNC requires a contract agreement
as part of this participation, with providers accepting their designated fee as full payment.
However, at that time, the reimbursement levels proposed by BCBSNC would not have allowed
the County to recoup a reasonable portion of the cost of providing emergency medical services
Since that time, BCBSNC has significantly increased the reimbursement rates that they are
willing to pay, to the point that the County would receive virtually all of the charges established
in the County's EMS fee schedule as approved by the BOCC.
BCBSNC is one of the largest insurance providers in this area, with approximately 500 to 600
Orange County ambulance service claims filed annually with BCBSNC as the primary insurer.
Approximately 30% to 35% of those clients receive the insurance reimbursement directly from
BCBSNC, but for various reasons do not forward those funds to the County for the transport
services provided. That results in substantial additional staff effort expended in contacting
these clients and attempting to recover monies awed to the County. Under the proposed
agreement with BCBSNC, all such payments (including those where BCBSNC is the secondary
insurer, following Medicare as the primary insurer) would came directly to the County.
This contract will enable Revenue staff to provide better service to citizens by handling the
entire financial transaction associated with their ambulance transport. Direct payment from
BCBSNC will increase the amount of revenue the County is able to collect, and will allow
Revenue staff to redirect a portion of their time to other, more productive revenue collection
activities instead of following up on BCBSNC insurance payments.
FINANCIAL IMPACT: Approval of this contract will enable Revenue staff to provide better
customer service while collecting additional ambulance service revenue beyond that which can
reasonably be collected under present circumstances. The accompanying table reflects
Orange County s current fees and the contract reimbursement amounts for those levels of
emergency medical services that will be covered under this BCBSNC contract.
RECOMMENDATION(S): The Manager recommends that the Board approve the contract with
BCBSNC and authorize the County Manager to sign it, subject to final review by staff and the
County Attorney.
AMBULANCE SERVICES AGREEMENT
THIS AMBULANCE SERVICES AGREEMENT (the "Agreement") is
entered into effective as of the Effective Date set forth hereafter in this Agreement, by
and between Blue Cross and Blue Shield of North Carolina, an independent licensee of
the Blue Cross and Blue Shield Association, and
Orange County, North Cazolina, an ambulance services provider, (`Provider"), (hereafter
refereed to collectively as the "parties");
WHEREAS BCBSNC is a hospital, medical and dental service corporation
licensed by the State of North Carolina and/or by such other jurisdictions as maybe
required bylaw or regulation to meet the obligations set forth in this Agreement; and
WHEREAS Provider is a provider of ambulance services and is duly licensed,
registered, certified, or otherwise authorized as required bylaw azld regulation, to provide
ambulazice services in each jurisdiction in which such services are to be provided under
this Agreement; and
WHEREAS the parties to this Agreement seek to facilitate the efficient and cost-
effective delivery of quality anbulance services to individuals covered under health
benefit plans or otherwise entitled to provider network services made available or
otherwise administered by BCBSNC;
NOW THEREFORE, the parties, in consideration of the mutual covenants and
agreements set forth herein, do hereby agree as follows:
1. GENERAL DEFINITIONS.
1.1 "BCBSNC" means, as applicable, any one or more of the following: (i)
Blue Cross and Blue Shield of North Carolina; (ii) Personal Care Plan of North Carolina,
Inc. ("PCP-NC"); (iii) any corporate parent, subsidiary or affiliate of BCBSNC azrd/or
PCP-NC; and/or a,joint venturer) with BCBSNC and/or PCP-NC; and/or (iv) any other
Blue Cross and Blue Shield plan for purposes of the Blue Card program or other program
coordinated with BCBSNC.
1.2 "Group" means any party that has entered into a contract for health care
and/or workers' compensation coverage and/or the administration of benefits and/or the
provision of provider network services to eligible Members with any of the following: (i)
BCBSNC; (ii) another Blue Cross and/or Blue Shield plan or corporate parent, subsidiary
or affiliate thereof; and/or (iii) another health plan which has a reciprocity or other
agreement with BCBSNC.
1.3 "Member" means an individual designated by a Group or by BCBSNC, as
the case maybe, to be eligible for health benefit plan coverage and/or benefits and/or
provider network services under BCBSNC's contracts with Groups and individuals.
1.4 "Covered Services" means the benefits and services, goods, equipment
and supplies specified in the Benefit Plan to which Members are entitled in accordance
with the terms and conditions thereof: We may compare the cost-effectiveness of
alternative services or supplies when determining which of the services or supplies will
be Covered Services.
2. PROVIDER'S SERVICES AND OBLIGATIONS.
Provider agrees to provide the services and carry out the obligations set forth as
follows:
2.1 Member Services. Provider agrees to provide ambulance Covered
Services for the transport of Members in accordance with: (i) all applicable local, state
and federal laws acid regulations; (ii) accepted industry standards; and (iii) the terms and
conditions set forth in this Agreement.
2.2 Vehicles, Equipment and Supplies. Provider agrees that all vehicles,
equipment, supplies or other goods used by Provider in carrying out Provider's services
and obligations under this agreement shall be: (i) properly serviced and maintained; (ii)
titled, licensed, insured, bonded, registered, certified, or otherwise authorized as required
by each jurisdiction in which Covered Services are provided under this Agreement, to
provide ambulance services to Members.
2..3 Personnel. Provider agrees that all employees and/or independent
contractors or other personnel designated by Provider to assist in carrying out Provider's
duties and obligations under this Agreement shall be: (i) qualified to perform their
designated functions; and (ii) licensed, certified, registered, or otherwise authorized as
required by each,jurisdiction in which services are provided under this Agreement to
perform their designated functions Provider presently maintains personal injury liability
insurance in the amount of $1 million per person and $2 million per occurrence and
umbrella coverage which provides an additional $4 million of personal injury liability
coverage. Provider agrees that it will immediately notify BCBSNC of any change in the
insurance coverage maintained by Provider. If the insurance coverage described
becomes, in the aggregate, less than $1 million per person and $.3 million per occurrence,
at the option of BCBSNC, this Agreement may be terminated by BCBSNC upon
BCBSNC giving Provider notice of the termination of this Agreement as provided in
Section 5 of this Agreement.
2.4 Provider Payment and Billin Provider agrees that billing and
payment by BCBSNC for Covered Services to Members shall be as set forth in Exhibit
2.4 to this Agreement, which is hereby incorporated by reference into the terms of this
Agreement. Provider fiirther agrees that such payment shall fully discharge BCBSNC,
the Member, and all third parties, from any and all liability for Provider's charges,
including, but not limited to, subrogation and workers' compensation, and that Provider
shall not, under any circumstances, bill or otherwise seek payment from BCBSNC, a
Member or any third party for Provider's services rendered, including but not limited to
subrogation and workers' compensation.. Notwithstanding the above, the Provider may
bill the Member for: (i) any applicable deductible, copayment or coinsurance; or (ii) any
non-Covered Service
2.S BCBSNC Audit and Inspection. Subject to and consistent with HIPAA
privacy laws, Provider agrees that BCBSNC shall have the right, upon request, to audit,
inspect, and copy at reasonable times and at no additional charge, financial statements,
accounting, administrative and medical records, and any and all other types of records
2
pertaining to or related to the performance and administration of the services and
obligations set forth in this Agreement. Subject to and consistent with HIPAA privacy
laws, Provider further agrees that BCBSNC has the right to use whatever audit
methodology it determines appropriate.. BCBSNC's rights set forth in this Section 2.5
shall survive termination of this Agreement,
2.6 BCBSNC Independent Licensee of Association. Provider
acknowledges its understanding that this Agreement constitutes a contract between the
Provider and BCBSNC, that BCBSNC is an independent corporation operating under a
license from the Blue Cross and Blue Shield Association, an association of independent
Blue Cross and Blue Shield plans (the "Association") permitting BCBSNC to use the
Blue Cross and/or Blue Shield service mark in the State of North Carolina, and that
BCBSNC is not contracting as the agent of the Association. Provider further
acknowledges and agrees that it has not entered into this Agreement based upon
representations by any person, entity, or organization other than BCBSNC and that no
person, entity or organization other than BCBSNC shall beheld accountable or liable to
the Provider for any of BCBSNC's obligations to Provider set forth in this Agreement.
This Section 2.6 shall not create any additional obligations whatsoever on the part of
BCBSNC other than those obligations set forth under other provisions of this Agreement.
2.7 Compliance With BCBSNC Policies and Procedures. Provider agrees
to comply with, and abide by the decisions of BCBSNC with respect to claims. Provider
agrees to comply with and abide by all applicable BCBSNC programs, policies and
procedures as maybe enacted and revised from time to time so long as Provider has prior
notice of all such applicable BCBSNC programs, policies and procedures. Provider
further agrees, upon request, to provide evidence of compliance with the requirements of
any and all such BCBSNC programs, policies and procedures.
3. BCBSNC'S OBLIGATIONS.
BCBSNC agrees either to perform, or to have performed by an authorized
representative/agent, the following obligations:
3.1 Administrative Functions. Provide administrative, accounting,
database management, reporting, and other functions necessary to the administration and
performance of its obligations under this Agreement.
3.2 Processine Claims. To make reasonable efforts to process claims for
Covered Services rendered by Provider to Members within thirty (30) days of BCBSNC's
receipt of all information necessazy to process such claims.
3.3 Payment For Services. To pay Provider for Covered Services rendered
to Members in accordance with the provisions of Section 2.4 and Exhibit 2.4 to this
Agreement.
4. TERM AND TERMINATION.
4.1 Effective Date and Term. This Agreement shall be effective as of the
Effective Date, which shall be the day of , 20 ,and the term shall
continue in effect thereafter for a period of one (1) year, This Agreement shall
automatically renew for additional one-year terms, unless terminated sooner by either
party as otherwise provided in this Agreement,
4.2 Termination With or Without Cause. Either BCBSNC or Provider
may terminate this Agreement at any time, with or without cause, upon prior written
notice to the other party of not less than ninety (90) days,.
5. NOTICES.
5.1 Method of Delivery. Any notice to be given under this Agreement shall
be in writing, addressed to the other party at the address listed in Section 5.2, or such
other address as the party may designate by notice to the other party, and shall be deemed
given by in-person hand-delivery, or by depositing such notice for delivery with the
United States Postal Service, certified mail, return receipt requested, postage prepaid.
5.2 Addresses. The parties' names and addresses for purposes of giving
notice under this Agreement shall be as follows:
BCBSNC Provider:
Vice President of Network
Management
P.O. Box 2291
Durham, NC 27702
6. INDEPENDENT CONTRACTORS.
Neither party to this Agreement nor their respective employees or agents shall be
deemed to be an agent, employee or servant of the other party. The parties acknowledge
and agree that the relationship between them shall be that of independent contractors.
7. ASSIGNMENT/SI7BCONTRACTING.
7.1 Provider. Provider shall not assign, subcontract, delegate, or otherwise
transfer this Agreement and/or any of Provider's services and obligations under this
Agreement, without the prior written consent of BCBSNC. The parties agree that upon
any such assignment, subcontract, delegation or other transfer by Provider, BCBSNC
shall have the right to terminate this Agreement 'immediately upon notice to Provider.
~P
7.2 BCBSNC. BCBSNC shall give Provider prior written notice of any
assignment, subcontract, delegation or other transfer of this Agreement or any of
BCBSNC's duties or obligations under this Agreement.
8. PATIENT CONFIDENTIALITY..
BCBSNC and Provider agree that all Member medical records, personal
information and other applicable health records will be treated as confidential as required
by state and federal law, including but not limited to Article 39 of Chapter 58 of the
North Carolina General Statutes, or successor thereto.. Both parties agree to maintain
written policies and procedures, which address protection of patient confidentiality.
9. ENTIRE AGREEMENT/AMENDMENTS.
This Agreement and the Exhibits to this Agreement constitute the entire
agreement between the parties. No amendment to this Agreement shall be effective
unless in writing, signed by both parties, with the exceptions set forth in this Section 8 as
follows:
9.1 Exception -Changes in Law. In the event that BCBSNC determines
that federal and/or state law or regulation requires amendments to this Agreement, then
BCBSNC shall give Provider thirty (30) days prior written notice, and upon expiration of
such 30-day period, this Agreement shall be automatically amended to include the
amendments set forth in BCBSNC's notice.
9.2 Exception -Provider Payment. In the event that BCBSNC determines
that changes in this Agreement are appropriate, then BCBSNC shall give Provider written
notice not less than 90 days prior to the effective date of such changes. Upon expiration
of such 90-day period, the changes set forth in BCBSNC's notice shall automatically take
effect.
10. GOVERNING LAW.
This Agreement shall, in all instances and under all circumstances, be governed by
and construed in accordance with the laws of the State of North Carolina, excluding its
choice of law and/or conflicts of law provisions.. The parties hereby consent and agree
that the venue for any legal action under or relating to this Agreement shall be either
Durham or Orange County, North Carolina.
11. THIS AGREEMENT SUPERSEDES ALL OTHERS BETWEEN THE
PARTIES.
The parties acknowledge and agree that this Agreement supersedes any and all
other agreements between the parties regarding the same or similar services, and that all
such other agreements between the parties are rendered null and void as of the Effective
Date set forth above in this Agreement.
5
8
IN WITNESS WHEREOF, each party to this Agreement has caused its duly
authorized representative to sign this Agreement on its behalf below, effective as of the
Effective Date set forth above in this Agreement.
Blue Cross and Blue Shield of
North Carolina
Orange County
By:
(Signature of Representative Duly
Authorized to Sign This Agreement)
By:
(Signature of Representative Duly
Authorized to Sign This Agreement)
Print/Type Name: Print/Type Name
Title:
EXHIBIT 2.4
Provider Payment and Billing
A. Provider Payment. Consistent with Section 2.4 of this Agreement, Provider
agrees Provider shall be paid by BCBSNC as follows:
A.1 Chan es. For CMM plans, BCBSNC agrees to pay and Provider agrees
to accept as payment in full for Covered Services delivered to Members, usual billed
charge,
A.2 Fee Schedule. For all Health Maintenance Organization (HNIO), Point
of Service (POS) and Preferred Provider Organization (PPO) plans, except Preferred Care
(CostWise), BCBSNC agrees to pay and Provider agrees to accept as payment in full for
Covered Services delivered to Members, the lesser of Provider's usual charge or the
amount specified in BCBSNC's fee schedule.
J~
BCBSNC Fee Schedule Disclosure
Orange County EMS
Code Fee
A0425 $6 .29
A0426 $223 .97
A0427 $354 .64
A0428 $186 .65
A0429 $298 .63
A0432 $326 .63
A0433 $513 .28
A0434 $606 .60
A0435 $7 .56
A0436 $20.14
03019 $298 .63
03020 $186 .65
Orange County Charges as of May 17, 2005
Mileage $6.00
Advanced Life Support 1 (ALS1) $425.00
Basic Life Support 1 (BLS1) $325.00
Advanced Life Support 2 (ALS2) $500.00
AO0999 Non Transport Treatment is not a covered cost therefore
Orange County can bill full amount and collect.
Labs, HCPCS, and therapy codes are based on the BCBSNC statewide fee schedule
Claims are paid at the lesser of charge or fee schedule
I accept the reimbursement as indicated above.
Provider's Signature:
Aate:
05/12/2005