HomeMy WebLinkAbout20051062 RESOLUTION
RE: APPROVE PURCHASE OF SERVICES AGREEMENT AND AUTHORIZE CHAIR TO
SIGN - LIMON AMBULANCE SERVICE
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 a Purchase of Services Agreement
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 Paramedic Service, and the Limon
Ambulance Service, commencing upon full execution of said agreement, 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 Purchase of Services Agreement 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 Paramedic Service,and the Limon Ambulance Service 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 28th day of March, A.D., 2005.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ellWilliam H. Je e, Chair
to the Board
1861
'•+� ° � �i M. J. Geile, Pro-Tem
J to the Board ' EXCUSED
Da ' Long
APP DASTO •
A ,k4D-
Rob rt D. Masd n
ounty Atto ey EXCUSED
Glenn Vaad
Date of signature: `6/DC
2005-1062
AM0018
•
/1l=/777;7/�(L/rfo// $
PURCHASE OF SERVICES AGREEMENT
Between Weld County Paramedic Service and
Limon Ambulance Service
THIS AGREEMENT is entered into by and 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 Paramedic Service (hereinafter referred to as "WCPS"), and the Town of Limon,
on behalf of the Limon Ambulance Service (hereinafter referred to as "LAC" or "Limon
Ambulance Service").
BACKGROUND INFORMATION
A. The WCPS has the capability, and desires to provide billing assistance to LAC;
B. LAC desires to purchase such services.
C. The parties wish to reduce their agreement to writing.
NOW THEREFORE, in consideration of the premises and mutual covenants contained
herein, the parties hereto covenant and agree as follows:
1. Recitals The above set forth recitals are hereby incorporated as if fully restated herein.
2. Term This Agreement shall become effective upon signing by both parties, and shall
remain in effect for one year. This Agreement may automatically renew from year to
year, unless sooner terminated pursuant to the provisions set forth in this Agreement.
3. Limon Ambulance Service Responsibilities Limon Ambulance Service agrees to be
responsible for the following:
a. Establish rates for the provision of ambulance transport and Emergency Medical
Technician (hereinafter referred to as "EMTs") services, pursuant to the direction
of the Board of Trustees for the Town of Limon.
b. Establish a process of pre-hospital data collection and entry into the computerized
billing system of WCPS that captures all of the required data elements of the State
of Colorado Department of Public Health and Environment for pre-hospital
Advanced Life Support and Ground Ambulance Licensing (hereinafter, the said
information shall be referred to as "pre-hospital data"), and which process also
complies with all of the requirements of the Health Information Portability and
Accountability Act (hereinafter referred to as "HIPAA"). Any additional costs
incurred by WCPS in obtaining and installing any necessary additional software or
licensing in order to be able to handle LAC billing, will be paid by LAC within
thirty days of an invoice being presented from WCPS to LAC for such costs.
2005-1062
c. Establish a process that allows for the transfer of the pre-hospital data collection
and entry referred to in paragraph 3.b. in an electronic format that is HIPAA
compliant and meets the timely filing requirements of Private Insurance providers,
as well as Medicare or Medicaid programs.
d. The pre-hospital data shall be easily and readily transferable from LAC to the
billing office at WCPS in Greeley, Colorado.
e. Contingent upon the pre-hospital data being easily and readily transferable as set
forth in 3.d. above, LAC will pay to WCPS $25.00 per billing statement which is
processed and mailed concerning any LAC account for services provided by LAC
on or after the date this Agreement becomes effective, and which account remains
unpaid, until such time as the bill on the account is paid, or is submitted to a
collection agency, or collection on that account is otherwise terminated. LAC will
also pay $25.00 per hour for any additional necessary work on an account other
than producing the billing statement, such work to include, but not be limited to,
insufficient patient billing information; extraordinary customer service time spent
with any particular account; or response to subpoenae or other requirements that
representatives from WCPS attend court proceedings.
f. For each account for services provided by LAC prior to the date this Agreement is
executed and becomes effective, LAC will also pay to WCPS $25.00 per hour for
the handling and processing of such account.
g. LAC will, contemporaneously with the execution of this Agreement, also enter
into an agreement with a collection agency to handle referrals of unpaid LAC
accounts. Within ten (10) days after LAC has entered into an agreement with a
collection agency, LAC will so notify WCPS of the agreement, and the agency
which will handle collection referrals on LAC accounts. LAC is informed that
WCPS currently refers unpaid WCPS accounts to Professional Finance Company,
and for efficiency and more ease in handling unpaid accounts, WCPS would
prefer that LAC use the same collection agency for referrals of unpaid accounts.
If WCPS decides to use a different collection agency for processing unpaid
accounts, WCPS agrees to provide no less than 30 days notice to LAC prior to
making such change.
4. Weld County Paramedic Services Responsibilities Weld County Paramedic Service
agrees to be responsible for the following:
a. Process the initial billing for LAC, based upon the information submitted to
WCPS from LAC in appropriate electronic form. WCPS will take the required
electronic information and further input into a computer software program which
will forward to the billing company used by WCPS, after which a billing
statement will be generated for the LAC account.
b. Track the payment on the account billed, ensuring that a follow-up billing
statement is mailed on the LAC account after 30 days, if the account has not been
paid.
c. If LAC authorizes WCPS to accept payments by credit card, LAC agrees to be
responsible for the credit card charge, which amount will be deducted from the
amount WCPS will forward to LAC for such payment received.
d. Provide LAC with a monthly statement which specifies the LAC bills processed,
any additional billing time pursuant to paragraph 3.e., and the total amount due
and owing from LAC to WCPS for services rendered. Preparation of additional
information, or a monthly statement presented in a custom format requested by
LAC will be billed at $25.00 per hour for the additional time incurred in such
preparation.
e. WCPS will deposit all amounts collected from LAC billings in a clearing account,
from which payment will be made on a monthly basis, of all amounts collected
from LAC accounts, less any amounts due and owing to WCPS. WCPS will
process any refunds, which will be paid from the clearing account by Weld
County check. An accounting of all payments received, less any amounts
deducted will be included with the monthly payment. The monthly payment will
be made either by check, or by wire transfer, whichever method the parties agree
upon.
5. Joint Responsibilities of the Parties The parties to this Agreement agree to jointly be
responsible for the following:
a. The parties will work together to establish a process of reporting accounts
receivables and other necessary reporting that meets the needs of both the LAC
and the Weld County requirements for budgetary review and accurate reporting
for auditing processes, and is readily prepared within the current billing structure
for WCPS. Any preparation of custom requested documents is subject to the
terms and conditions contained in paragraph 4.d.
b. Any disputes or questions from third parties concerning billing statements for any
LAC accounts will be handled by WCPS, to the extent that WCPS is capable of
responding to such disputes or questions. WCPS agrees to immediately refer any
questions or disputes to LAC's representative for response in the event that
WCPS does not have the knowledge or capability of response to any particular
question or dispute. Any requests for information, disputes, or questions received
by WCPS concerning any other issue not directly related to billing statements for
any LAC account will be immediately referred by WCPS to LAC.
c. Additionally, LAC shall be solely responsible for any liability concerning the
services provided to any patient by LAC, or any liability concerning incorrect
information forwarded to WCPS for processing. WCPS is only responsible for
the actual billing, based upon the information provided by LAC. WCPS shall be
liable only for incorrect information contained in the billing statement over which
WCPS had control, e.g., clerical errors which originate with WCPS.
6. 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 the other party to this Agreement.
7. Immunities No portion of this Agreement shall be deemed to constitute a waiver of any
immunities the parties or their officers or employees may possess, nor shall any portion of
this Agreement be deemed to have created a duty of care with respect to any persons not a
party to this Agreement.
8. No Discrimination No party shall, on the grounds of race, color, sex, religion, age,
national origin, or individual handicap, be excluded from or denied services, or be subject
to discrimination under any provision of this Agreement.
9. Budget Restraints No portion of this Agreement shall be deemed to create an obligation
on the part of the County of Weld, State of Colorado, or upon the Weld County
Paramedic Service to expend funds not otherwise appropriated in any relevant year.
10. Applicable Law This Agreement is expressly made subject to all laws and regulations of
the United States and the State of Colorado.
11. Modifications This Agreement constitutes the entire understanding between the parties
with respect to the subject matter hereof. All modifications to this Agreement shall be in
writing and signed by both parties.
12. Binding Agreement This Agreement shall be binding upon the parties hereto, their
successors, legal representatives and assigns. Except for any action provided for in this
Agreement, neither party may assign any of their rights or obligations hereunder without
the prior written consent of the other party.
13. Termination This Agreement may be terminated by either party upon sixty (60) days
written notice to the other party. Upon termination, LAC will pay to WCPS within thirty
(30) days, any amounts that have been incurred for billing statements which have been
processed by WCPS, and which have not been previously paid by LAC. Upon
termination, WCPS will immediately cease to process any additional accounts for billing
which may have been forwarded to WCPS from LAC, and return all patient health
information concerning such billings to LAC.
14. Notices Any notice provided for in this Agreement shall be in writing and shall be served
by personal delivery or by certified mail, return receipt requested, or by confirmed
facsimile, at the addresses or facsimile number set forth in this Agreement, until such
time as written notice of a change in address or fax number is received from the party
wishing to make a change of address. Any notice so mailed or faxed, and any notice
served by personal delivery shall be deemed delivered and effective upon receipt or upon
attempted delivery. This method of notification will be used in all instances, except for
emergency situations when immediate notification to the parties is required.
LAC: Lonnie Knudsen, Supervisor
Limon Ambulance Service
110 A Avenue, P.O. Box 374
Limon, CO 80828
WCPS: Weld County Paramedic Service
ATTN: Dave Bressler, Director
Greeley, Colorado 80631
FAX:
15. No Third Party Enforcement 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 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.
IN WITNESS WHEREOF, the parties have hereunto set their hands and seals this ',R7
day of -0ri(ta1ti , 2005.
BOARD OF COUNTY COMMISSIONERS
FOR THE COUNTY OF WELD,
STATE OF COLORADO ATTEST:, ury\ 4 I ./
By: William H. Jerke, Chair MAR 2 8 2805 f
Deputy, Clerk to the-$..,
WE COUNTY PARAMEDIC SERVICE
Dave Bressler, Director
BOARD OF TRUSTEES
FOR THE TOWN OF LIMON,
STATE OF COLORADO
a461 6,e AIIEST:
Del Beattie, Mayor( j, 4 Ali dQ-t2
Chris Snyder, Town Clerk
LIMON AMBULANCE SERVICE
Lonnie Knudsen, Supervisor
Hello