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HomeMy WebLinkAbout20122013.tiff RESOLUTION RE: APPROVE AGREEMENT CONCERNING PATHOLOGY SERVICES AND AUTHORIZE CHAIR TO SIGN — SUMMIT PATHOLOGY WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Agreement Concerning Pathology Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and Summit Pathology commencing upon full execution, with further terms and conditions being as stated in said Agreement, and WHEREAS, after review, the Board deems it advisable to approve said Agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Agreement Concerning Pathology Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and Summit Pathology be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said Agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 1st day of August, A.D., 2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: Cs..t a qO. Sean P. ConChair Weld County Clerk to the Board E a i, /Garcia, m BY: \ �l ►� .p Deputy Cle ^ to th- Board , 1861 ("..�".'{.._ �� 0 � a APPROVED AS TO FORM: \iZèj r4 T5S C tea/ avid E. Long ogQ Cot.my Attorney P'r/ J tCt4llv. Douglas Rademacher Date of signature: H a o n c) k &.wln v/®c.J/w y GC ." cdc, gi & -/,Q F 2707 2012-2013 HL0039 AGREEMENT CONCERNING PATHOLOGY SERVICES BETWEEN SUMMIT PATHOLOGY AND THE WELD COUNTY BOARD OF COUNTY COMMISSIONERS ON BEHALF OF THE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT THIS AGREEMENT is made and entered into on this /S� day of flit A, 2012, by and between Summit Pathology and the Weld County Board of County Counitissioners, Weld County, Colorado, on behalf of the Weld County Department of Public Health and Environment("WCDPHE"). RECITALS: WHEREAS, WCDPHE requires that certain pathology services be provided to eligible WCDPHE patients; and WHEREAS, Summit Pathology has the necessary credentials and the appropriate personnel to provide the services in the State of Colorado, and to provide such services to eligible WCDPHE patients; and WHEREAS, WCDPHE would like Summit Pathology to provide services, and Summit Pathology is willing and able to provide such services to eligible WCDPHE patients consistent with the terms and conditions hereinafter set forth in this Agreement. NOW THEREFORE, for and in consideration of the covenants, conditions, agreements, and stipulations hereinafter expressed, the parties do hereby agree as follows: 1. Recitals.The above set forth recitals are hereby incorporated as though set forth herein verbatim. 2. Summit Pathology Services. The Services to be provided by Summit Pathology to WCDPHE patients are listed in Exhibit A to this Agreement, attached hereto and incorporated herein by reference. 3. Term of Agreement.This Agreement shall be effective for one(1) year from the date of final execution by the Board of Weld County Commissioners. At the end of the initial one year period, this Agreement shall automatically renew on a yearly basis for up to three(3) more years,unless sooner terminated by notice from either party in accordance with Section 10, Termination, of this Agreement. 4. WCDPHE Responsibilities. WCDPHE shall be responsible for the following requirements concerning WCDPHE patients who are authorized to receive Services from Summit Pathology: a. Referrals.All authorizations of WCDPHE patients for Summit Pathology Services will be coordinated through WCDPHE and the WCDPHE designated coordinator. WCDPHE 2012-2013 Page 1 of 7 will determine a patient's eligibility for Services prior to authorizing such patient for Summit Pathology Services. b. Compensation. Within thirty(30) days of receipt of Summit Pathology's invoice, WCDPHE shall pay Summit Pathology for Services in accordance with the effective Medicare reimbursement rates specific to Colorado and set from time to time by the United States Federal Government. 5. Summit Pathology Responsibilities. Summit Pathology agrees to provide the following services and be responsible for the following: a. Services. Summit Pathology agrees to provide certain pathology Services to WCDPHE patients as more specifically set forth in Exhibit A. b. Timely Clinical Services Report. Summit Pathology shall use its best efforts to return a clinical services report within one(1)week of the date of service to allow WCDPHE to report required information to the State of Colorado. Any disclosure of information will be in compliance with federal and state law and the terms of Section 8, Confidentiality Of Patient Information, of this Agreement. c. Billing. Summit Pathology will provide to WCDPHE on a monthly basis, a summary of Services rendered to WCDPHE patients referred or authorized by WCDPHE to receive such Services. The summary will include the following information: patient name, date of birth, date of service, services provided, and cost. Summit Pathology will provide in a timely manner any additional information which may be required by WCDPHE to process the billing information. 6. Adjustment of Payment: a. Request for Adjustment. Either party shall be entitled to request an adjustment of payment if the requesting party notifies the other party in writing of the overpayment or underpayment within ninety(90)days of such payment and provides documentation substantiating such claim. Such requests for payment adjustment must be answered within thirty(30)calendar days of receipt. b. Paving Adjustments. If the parties determine that WCDPHE has underpaid Summit Pathology, WCDPHE shall pay the underpaid amount to Summit Pathology within fourteen(14) calendar days of such determination. If the parties determine that WCDPHE has overpaid Summit Pathology, Summit Pathology shall reimburse WCDPHE for the overpayment within fourteen(14)days of said determination. 7. Records.The relevant records of Summit Pathology shall be complete and available for audit ninety(90) days after final payment for any Services provided pursuant to this Agreement, and shall be retained and available for audit purposes for at least five(5) years after such final payment. The parties agree to the additional following provisions concerning records: Page 2 of 7 a. Medical Records. Medical records for the Services provided pursuant to this Agreement will be maintained at Summit Pathology,but WCDPHE personnel will have access to such files at all reasonable times during regular business hours. b. Financial Records.WCDPHE shall have access to the financial records kept by Summit Pathology with respect to the Services provided by Summit Pathology pursuant to this Agreement at all reasonable times during regular business hours. 8. Confidentiality Of Patient Information. Each party agrees to keep any and all records and information confidential, and to comply with the privacy obligations applicable to them under the Health Insurance Portability and Accountability Act of 1996 and the regulations issued pursuant thereto, as amended(42 USC 1320d and 45 CFR 160.101, et. seq.) ("HIPAA") and to comply with all other laws and regulations concerning the confidentiality of such records. In the event of a contradiction between this Agreement and federal and state law, federal and state law shall govern the release of any confidential information. The parties agree to execute a Business Associate Agreement pursuant to HIPAA requirements, if such an agreement is requested by either party. 9. Limitations, Liabilities,Indemnification. Summit Pathology agrees to defend, indemnify, and hold harmless WCDPHE for any and all liability incurred by the acts, omissions, or failures to act by Summit Pathology in relation to this Agreement. Summit Pathology acknowledges that WCDPHE is a governmental entity immune from certain liability pursuant to the Colorado Governmental Immunity Act§§24-10-101 C.R.S., et seq. To the extent WCDPHE may be held liable for its acts, omissions, or failure to act, despite the application of the aforementioned Colorado Governmental Immunity Act, WCDPHE agrees to indemnify and hold harmless Summit Pathology to the extent of the liability incurred by the acts, omissions, or failures to act by WCDPHE in relation to this Agreement. Summit Pathology acknowledges that this agreement to defend, indemnify, and hold harmless WCDPHE extends to the Board of Weld County Commissioners, and to all Weld County officers, employees, and agents. The term "liability" includes, but is not limited to, claims, suits, expenses, damages, and court awards including costs and attorney fees incurred as a result of any act or omission by the applicable party who acted or failed to act. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights,benefits,protections or other provisions, of the Colorado Governmental Immunity Act§§24-10-101 C.R.S., et seq., as applicable now or hereafter amended. This Section 9, Limitations, Liabilities, Indemnification, shall survive termination of this Agreement. 10. Termination of Agreement. Either party may terminate this Agreement with or without cause upon thirty(30) days written notice to the other party. If this Agreement is so terminated, WCDPHE agrees to pay compensation owed to Summit Pathology for actual Services rendered to WCDPHE patients during the term of this Agreement and pursuant to its terms and provisions. 11. No Federal Exclusion. Page 3 of 7 a. WCDPHE hereby represents and warrants that WCDPHE is not, and at no time has been, excluded from participation in any federally funded health care program, including Medicare and Medicaid. WCDPHE hereby agrees to immediately notify Summit Pathology of any threatened, proposed, or actual sanction or exclusion from any federally funded health care program, including Medicare and Medicaid. Such notice shall contain reasonably sufficient information to allow Summit Pathology to determine the nature of any sanction. In the event that WCDPHE is excluded from participation in any federally funded health care program during the term of this Agreement, or if, at any time after the effective date of this Agreement, it is determined that WCDPHE is in breach of this Section,this Agreement shall, as of the effective date of such exclusion or breach, automatically terminate. b. Summit Pathology hereby represents and warrants that Summit Pathology is not, and at no time has been, excluded from participation in any federally funded health care program, including Medicare and Medicaid. Summit Pathology hereby agrees to immediately notify WCDPHE of any threatened, proposed, or actual sanction or exclusion from any federally funded health care program, including Medicare and Medicaid. Such notice shall contain reasonably sufficient information to allow Summit Pathology to determine the nature of any sanction. In the event that Summit Pathology is excluded from participation in any federally funded health care program during the term of this Agreement, or if, at any time after the effective date of this Agreement, it is determined that Summit Pathology is in breach of this Section, this Agreement shall, as of the effective date of such exclusion or breach, automatically terminate. 12. Notices. Any notice or other communication provided for in this Agreement shall be in writing and shall be served by personal delivery, confirmed facsimile, or by certified mail, return receipt requested, postage prepaid, at the addresses set forth in this Agreement,until such time as written notice of a change is received from the party wishing to make a change of address. Any notice so mailed and any notice served by personal delivery or confirmed facsimile shall be deemed delivered and effective on the date of delivery if the notice is personally served or served by facsimile, or on the third business day following the date of mailing if the notice is mailed by certified mail. a. Summit Pathology: Address: eau- tAzxeq-rvR=r1c. Lovez AAQD, cc 8°53g- Attn: .SA x. RANso' Phone: q7o-z/Z-o5oc. Fax: q b. WCDPHE: Greeley, Colorado 80631 Weld County Department of Public Health And Environment Attn. Dr. Mark Wallace Page 4 of 7 1555 N. 17th Avenue Greeley, Colorado 80631 FAX: 970-304-6412 13. General Provisions. a. Section Headings.The headings of sections in this Agreement are for reference only and shall not affect the meaning of this Agreement. b. Parties' Relationship.The parties to this Agreement intend that the relationship between them contemplated by this Agreement is that of independent entities working in mutual cooperation. No employee, agent, or servant of one party shall be or shall be deemed to be an employee, agent, or servant of another party to this Agreement. c. No Waiver of Immunities.Notwithstanding any other provision contained herein, WCDPHE specifically does not waive any immunities to which it may be entitled by statute or otherwise, including, without limitation, the Colorado Governmental Immunity Act§§24-10-101 C.R.S., et seq. d. Non-Assignment.This Agreement shall not be assigned, delegated, or transferred by either party without the prior written consent of the other party. e. Binding Effect. This Agreement shall be binding upon, and shall inure to the benefit of, the parties hereto and their successors and permitted assignees. E Governing Law.This Agreement shall be governed under the laws of the State of Colorado, and any relevant Federal law. g. Medical Practices. WCDPHE and Summit Pathology understand and agree that all obligations concerning medical practices under this Agreement shall be conducted in accordance with the applicable standards of care within the community. h. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable, this Agreement shall be construed and enforced without such a provision, to the extent this Agreement is then capable of execution within the original intent of the parties. i. Funding.No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, or WCDPHE to expend funds not otherwise appropriated during the term of this Agreement. j. No Third Party Enforcement.No portion of this Agreement shall be deemed to have created a duty of care with respect to any person not a party to this Agreement. It is expressly understood and agreed that enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties, and nothing contained in this Agreement shall give or allow Page 5 of 7 any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving Services or benefits under this Agreement shall be deemed an incidental beneficiary only. k. Conflict of Interest.No officer, member, director, or employee of WCDPHE or Summit Pathology, and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. 1. Open Records. Notwithstanding any other language contained in this Agreement, Summit Pathology acknowledges that WCDPHE is a department of Weld County Government, and as such, is subject to the Colorado Open Records Act, which would most likely recognize this Agreement, its accompanying records, and other records and information associated with the performance and execution of this Agreement, as open records available to the public. m. Non-Exclusive Agreement.This Agreement is not exclusive. Accordingly, either Summit Pathology or WCDPHE shall have the right to enter into one or more agreements relating to the same or similar matters as are covered by this Agreement, and execution by either party of such agreements shall not constitute a breach of this Agreement. n. Integration, Modification, and Breach.This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. No modification, amendment, novation,renewal, or other alteration of or to this Agreement and the attached exhibit(s) shall be deemed valid or of any force or effect whatsoever, unless mutually agreed upon in writing by the undersigned parties. No breach of any term,provision, or clause of this Agreement shall be deemed waived or excused, unless such waiver or consent shall be in writing and signed by the party claimed to have waived or consented. Any consent by any party hereto, or waiver of, a breach by any other party, whether express or implied, shall not constitute a consent to, waiver of, or excuse for any other different or subsequent breach. IN WITNESS WHEREOF, the parties have hereunto set their hands and seals on the dates stated below. ATTEST: `� CLERK TO THE B f AIRMAN OF THE BOARD OF LD COUNTY COMMISSIONERS 1%61 ar�o Bw 4 :_l p. Deputy CI to the Board Sean Conway Date: AUG 01 2012 Date: AUG 01 2012 Page 6 of 7 C9(i/O2 -ao/: SUMMIT !Wilmer MD PC Managing Partner BY H Wentzell armor MD NEW Name: eb6 .44,11 Title: gYlemAarberii 4 Date: —7 /2 {. A . Approved as to form: Prrt i County Att'rney Page 7 of 7 N -c o` 3 c a) o 0) m a) d 0 , C a) m n a m 'u `0 a 'N C a T J J a o y L A y N 0. 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