Resolution 099-1988
James R. Paros, Director
Emergency Services
RESOLUTION NO. 099-1988
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
SITTING AS THE BOARD OF GOVERNORS OF
MUNICIPAL SERVICE TAXING DISTRICT 2
AUTHORIZING THE CHAIRMAN OF THE BOARD TO
EXECUTE AN AGREEMENT BY AND BETWEEN MUNICIPAL
SERVICE TAXING DISTRICT 2 AND DIVERSIFIED
SYSTEM MANAGEMENT, INC. PERTAINING TO BILLING
AND COLLECTION 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 DISTRICT 2 as follows:
The Chairman of the Board is hereby authorized to execute an
Agreement by and between Municipal Service Taxing District 2 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 District 2 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 DISTRICT 2
By~~1
~
(Seal)
Attest: DANNY L.. KOLHAGE, Clerk
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'llri.s agreement, made and entered into this 16th day of February
A.D. 1988, between !b1icipal Service Taxing District 2 of Iblroe
County, PloricSa, hereinafter referred to as the "District", and
Diversified System Manaqement, Inc., hereinafter referred to as
"D.S.M.", and
VIlereas, the District desires to enter into an arranqement with D.S.M.,
to provide billing and collection services for user fees generated by
the District's emergency medical services system, and
VIlereas, D.S.M. is qualified and prepared to render such services,
beg:inniB1 iDmedi.8tely upon execution of this agreement, and desires to
reOOier such services to the District in consideration of the
c:onpensation agreed to herein, and
Wlereas, D.S.M. possesses all the necessary licenses required to engage
in the blsiness of billing and collection services in the State of
Florida, now, therefore,
Be it understood that in consideration of the nutual covenants,
premises and representation herein, the parties hereto agree as
follows:
1. '!hat 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 z.t>nroe County, Florida.
2. '!hat D.S.M. shall Qt'eate and 1DI!lintain records of each patient
account which accurately reflect the charges made against and the
payments made into such ~ts for emergency medical services.
3. 'lbat D.S.M. shall provide to patients suitable for self pay
and/or forwardinq as neaessary to other third party payors, statements
of charges in custanary form which accurately reflect the services
remered by emergency medical services and the charges made for such
services. D.S.M. shall also provide for the autanatic electronic
transmission of claims to all major insurance providers through its
C<XIplter billing system. D.S.M. understands that there will be a back
log of charged tickets dating frail approximately November 17, 1987.
4. 'lbat D.S.M. shall make four (4) att.ellpts within a 120 day period
after receipt of charge tickets to bill for services reOOiered to
patients as follows:
Initial bill (within three (3) workmj days)
First Notice (30 days hence)
second Notice (60 days hence)
'lhird Notice (90 days hence)
5. '!bat D.S.M. shall provide account.i.nq, statistical, and follow-up
data for patient accounts. D.S.M. shall provide to the District ,the
following custalBry financial reports on a weekly, mnthly and yearly
basis as specified:
Daily journal of transactions
BaRDary of monthly and year-to-date billiDp and collections by
district and in total ocabiDed with other districts
&.nary of aooounts by individual debtor
~~ry of aged aooouats receivable, aged as follows:
30 days, 60 days, 90 days and 120 days or older
6. 'lbat D.S.M. agrees that all appropriate records will be open for
inspection by designated individual or firm representing the Districts I
interest dur:ing nonBl b.uliDess bours.
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7 . 'nlat the District will arran:Je for a lock-box collection system
at a financial institution provic1inq these servi.oe~: cost of services
to be borne by D.S.M.
8. '1hat D. S.M. agrees to provide office facility am telephone for
timely response to patient inquiries regarding accounts subject to this
agreement.
9. '1hat D.S.M. shall make requests for reoonsideration and ~ls
of adverse determinations by third party payors as may be subnitted in
good faith.
10. 'nlat the District agrees to pay pralptly to D.S.M. upon
sul:mi.ssion of proper invoices, on a bi-weekly basis, fees in the aIOOunt
of 13-1/2% of gross dollars collected on patient's accoWlts for the
services described in the preoeedi.ng sections of this agreement.
11. At the conclusion of 120 days frCB date of initial billiD:J,
D.S.M. will o.._...mce third party collection agency procedures, through
Diversified System Management's collection agency division. In
carplianoe with PlX:PA and awlicable state and local laws and
regulations, the a<Jency will collect the bad debts of the District's
emergency nedical services system.
12. The District agrees to pay pralptly to D.S.M. upon sul:Jn:i.ssion of
proper invoices, fees in the aIOOWlt of 22% of gross dollars collected
on patient's aCCOWlts through D.S.M. 's third party collection agency
procedures.
13. Parties agree that they shall negotiate 90 ~ prior to the errl.
of this contract term with respect to a possible renewal.
14. 'n1at D.S.M. agrees to engage the services of an independant
certified public accoWltant to provide an annual audit report to
coincide with the fiscal }leU' of the District. 'nle cost of same will
be borne by D.S.M.
15. If and when there are postal increases over the existing rate,
the parties will renegotiate the rate.
16. 'nle District agrees to provide to D.S.M. 's office, charge tickets
of services rendered on a weeJcly basis and in condition suitable for
entry into D.S.M. 's cooputer bil1iD:J syStem.
17. 'Ibis agreement shall be for one (1) year, 00IlIIIellCing on the date
in which it is eX'eCUted by both parties. Either party can canoel this
agreement without cause by gi viD:J 30 days written notice to the other
indicating their desire to terminate same.
18. Upon teraination of this agreement, D.S.M. shall have the right
to the awlicable percentage of gross dollars collected on patient:' s
aCCOWlts for a period of 60 days aftel!' the last action -.s taken on a
patient account~ '
19. Upon tel'llination of this agreement, an audit by an independant
certified public accountant shall be provided and D.S.M. shall have the
duty to prCllptly turn over to the District its 0ClIIIp1ete records
re1event to the accounts under this agreement after settlE!Bellt of any
m::mi.es due. SUch records shall be in good business order and current
to the date of turn over. '
20. '!be provisicm of this ag.tMu::ut will be ~ted if and when .
fob1roe County desires to npTI1'JfI the billiBJ 8DIl collection services
provided under this agreement to other than <ilmll8lJCle user fees
generated. by the District's E!IIergeI1Cy lllE!dioal services system.
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In witness whereof, the parties hereto executed this agreement on the
16th day of February , 1988.
Mmicl;pal services Taxing District 2
K:mroe COunty, Plorida
By: ~,.~~ ~
Ma~ OlairDBn
J)lte: d- t& - <l'?
(Seal)
Attest:DANNY 1. KOLHAGE, Clerk
sJ-~ {l;.LCU1'i'- fL:
Clerk '
Diversified System Mzma
By:
ntte: ~4y6
/
Attest:
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IIP:J:jD S Ti FORM
AfJ~ L SUF, IENCY.
Att'7m('j/.s Office