Resolution 098-1988
- -
James R. Paros, Director
Emergency Services
RESOLUTION NO. 098 -1988
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
SITTING AS THE BOARD OF GOVERNORS OF
MUNICIPAL SERVICE TAXING DISTRICTS I-A, l-B,
l-C, l-D, 3, 4-A, 4-B, 5 AND 6 AUTHORIZING
THE CHAIRMAN OF THE BOARD TO EXECUTE AN
AGREEMENT BY AND BETWEEN MUNICIPAL SERVICE
TAXING DISTRICTS I-A, l-B, l-C, l-D, 3, 4-A,
4 -B, 5 AND 6 AND DIVERSIFIED SYSTEM MANAGE-
MENT, INC. PERTAINING TO BILLING AND COLLEC-
TION SERVICES FOR USER FEES GENERATED BY THE
DISTRICTS' EMERGENCY MEDICAL SERVICES SYSTEM.
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, SITTING AS THE BOARD OF GOVERNORS OF
MUNICIPAL SERVICE TAXING DISTRICTS I-A, l-B, l-C, l-D, 3, 4-A,
4-B, 5 and 6 as follows:
The Chairman of the Board is hereby authorized to execute an
Agreement by and between Municipal Service Taxing Districts I-A,
l-B, l-C, l-D, 3, 4-A, 4-B, 5 and 6 and Diversified System
Management, Inc., a copy of same being attached hereto,
pertaining to billing and collection services for user fees
generated by the District's emergency medical services system.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, sitting as the Board of Governors of
Municipal Service Taxing Districts I-A, l-B, l-C, l-D, 3, 4-A,
4-B, 5 and 6 at a regular meeting of said Board held on the 16th
day of February, A. D. 1988.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA,
SITTING AS THE BOARD OF
GOVERNORS OF MUNICIPAL SERVICE
TAXING DISTRICTS I-A, l-B,
l-C, l-D, 3, 4-A, 4-B, 5 AND 6
Bygy~~/ ~
C N
(Seal)
Attest :PANNX 1. KOLHAGE, Clerk
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CLERK (
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AGREIIBJr
'Ibis agreement, 1IBde and entered into this 16th day of February
A.D. 1988, bebJeen M.micipal Service Taxing Districts I-A, l-B, l~,
l-D, 3, 4-A, 4-S, 5 and 6 of Monroe County, Florida, hereinafter
referred to as the "Districts., and Diversified System Management,
Inc., hereinafter referred to as "D.S.M.., and
\tbereas, the Districts desire to enter into an arr~t with D.S.M.,
to provide billing and collection services for user fees generated by
the Districts emergency medical services system, and
\tl1ereas, D.S.M. is qualified and prepared to render such services,
beginning i lIIIlediatel y upon execution of this agreement, and desires to
render such services to the Districts in consideration of the
coopensation agreed to herein, and
~reas, D.S.M. possesses all the necessary licenses required to engage
in the b.1siness of billinq and collection services in the State of
Florida, now, therefore,
Be it understood that in oonsideration of the DIltual covenants,
premises and representation herein, the parties hereto agree as
follows:
1. 'lbat D.S.M. will provide the billing and collection of charges
for emergency medical services on an ongoing basis during the term of
this agreement. 'lbese services will be provided fran D.S.M. · s office
in M::mroe COUnty, Florida.
2. '!bat D.S.M. shall create and 1Ill!lintain reoords of eech patient
account which accurately reflect the charges made against and the
paymmts IIIlIlde into such accounts fo~ emergency medical services.
3. '!bat D.S.M. shall provide to patients suitable for self pay
and/or forwarding as necessary to other third party payon,statements
of charges in custauary form which accurately reflect the services
rendered by emergency medical servi08ll and the charges made for such
services. D.S.M. shall al80 provide for the autaDatic electronic
transmission of clau. to all .jor insutanoe providers through its
CCIlpJ.ter billing system. D.S.M. understaDds that there will be a back
log of charged tickets dating fraa awroxiDttely November 17, 1987.
4. '!hat D.S.M. shall __ four (4) atteapts within a 120 day period
after receipt of charge tickets to bill for services rendered to
patients as follows:
Initial bill (within three (3) working days)
First Noti~ (30 days hence)
5econd Notice (60 days hence)
'lhird Notice (90 days hence)
5. 'Ihat D.S.M. shall provide aocounti.nq, statistical, and follOw-up
data for patient accounts. D.S.M. shall provide to the Districts the
following custallary financial reports on a weekly, IIkmthlyand yearly
basis as specified:
Daily journal. of tr-.etions
S~ry of monthly and year-to-dtte billings and collections by
district and in total coqbi lied with other districts
S~ of llCXX>lUlt8 by individual debtor
9....ry of aged aooounts receivable, aged as follows:
30 days, 60 days, 90 days and 120 days or older
6. 'Ihat D.S.M. agrees that all ~iate records will be open for
inspectj.on by de4ignated i.ndi vidual or firm representi.nq the Districts'
interest during *>I1IIll business hour.. ..
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7 . '!bat the Districts will arrange for a lock-box collection system
at a financial institution providing these services: cost of services
to be borne by D.S.M.
8. '!bat D.S.M. agrees to provide office facility and telephone for
timely response to patient iB;Iu.iries regarding aa::ounts subject to this
agreement.
9. '!bat D.S.M. shall make requests for reconsideration and aweals
of adverse determinations by third party payors as may be sul:llli.tted in
good faith.
10. That the Districts agree to pay pralptly to D.S.M. upon
subnission of proper invoices, on a bi-weekly basis, fees in the ala>unt
of 13-1/2% of gross dollars collected on patient's accounts for the
services described in the preoeedinq,sections of this agreement.
11. At the conclusion of 120 days fran date of initial billing,
D.S.M. will ~ third party collection agency prooedures, through
Diversified System MiJnagementls collection agency division. In
ooopliance with POCPA and awlicable state and local laws and
regulations, the agency will oollect the bed debts of the Districts'
emergency medical services system.
12. '!he Districts agree to pay prooptly to D.S.M. upon subnission of
proper invoices, fees in the ala>unt of 22% of gross dollars collected
on patientls accounts through D.S.M.'s third party oollection agency
procedures.
13. '!hat D.S.M. agrees to engage the services of an i.ndependant
certified public ~ccountant to provide an annual audit report to
coincide with the fiscal year of the Districts. '!he cost of same will
be borne by D.S.M.
14. If and when there are postal increases over the existing rate,
the parties will renegotiate the rate.
15. '!he Districts agree to provide to D.S.M. IS office, charge tickets
of services rendered on a weekly basis and in condition suitable for
entry into D.S.M. IS cooputer billing system.
16. '!his agreE!ftmt shall be for one (1) year, call1lencing on the date
in which it is executed by both parties. Either party can canoel this
agreement without cause by giving 30 days written notice to the other
indicating their desire to terminate BillIe.
17. Upon termination of this agreement, D.S.M. shall have the right
to the applicable percentage of gross dollars collected on patient' s
accounts for a period of 60 days after the last action was taken on a
patient account. .
18. Upon teI1l)i.na.tion of this agreement, an audit by an independant
certified public accountant shall be provided and D.S.M. shall have the
duty to prooptly turn over to the Districts its OCDplete records
relevent to the accounts under this agreement after settlE!llll!mt of any
JOOlli.es due. Such records shall be in good business order and current
to the date of turn over.
19. '!he provision of this agreement will be reneqotiated if and when
M;)nroe County desires to expand the billing and collection services
provided under this agreement to other than antlulanoe user fees
generated by the Districts' eaergency medical services system.
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In witness whereof, the parties hereto executed this agreement on the
16th day of February , 1988.
l-tmicipal Services Taxing Districts
I-A, I-B, 1-C, 1-0, 3, 4-A, 4-B, 5 and 6
~nroe CoWlty, Florida
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By: ~- /~ 6v'
Mayor Chai
IBte: r-.? - f to - <{6
(Seal)
Attest: DANNY L. KOLHAGE Cl
, erk
~~o ~w.--" f(t.
Clerk {
Diversified System ~~' Inc.
By: ~ Af'1! u/~ · r'
Pr~
Late: ~0'
Attest:
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