Resolution 2023-32723RESOLUTION NO. 2023-32723
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, ACCEPTING THE RECOMMENDATION OF THE
CITY MANAGER, TO AUTHORIZE NEGOTIATIONS RELATING TO REQUEST
FOR PROPOSALS NO. 2023-015-ND, FOR EMERGENCY MEDICAL
TRANSPORT BILLING AND COLLECTION SERVICES; AUTHORIZING THE
ADMINISTRATION TO ENTER INTO NEGOTIATIONS WITH DIGITECH EMS
BILLING LLC, AS THE TOP -RANKED PROPOSER; FURTHER, IF THE
ADMINISTRATION IS NOT SUCCESSFUL IN NEGOTIATING AN
AGREEMENT WITH DIGITECH EMS BILLING LLC, AUTHORIZING THE
ADMINISTRATION TO ENTER INTO NEGOTIATIONS WITH EMS
MANAGEMENT AND CONSULTANTS, INC., AS THE SECOND -RANKED
PROPOSER; FURTHER, IF THE ADMINISTRATION IS NOT SUCCESSFUL IN
NEGOTIATING AN AGREEMENT WITH EMS MANAGEMENT AND
CONSULTANTS, INC., AUTHORIZING THE ADMINISTRATION TO ENTER
INTO NEGOTIATIONS WITH CHANGE HEALTHCARE TECHNOLOGY
ENABLED SERVICES, LLC, AS THE THIRD -RANKED PROPOSER; AND
FURTHER AUTHORIZING THE CITY MANAGER AND CITY CLERK TO
EXECUTE AN AGREEMENT UPON CONCLUSION OF SUCCESSFUL
NEGOTIATIONS.
WHEREAS, on February 9, 2022, the Mayor and City Commission authorized the
issuance of Request for Proposals (RFP) 2022-019-ND for Emergency Medical Transport Billing
and Collection Services; and
WHEREAS, RFP 2022-019-ND was released on February 11, 2022; and
WHEREAS, on April 13, 2022, the City received a sole responsive proposal from
Digitech EMS Billing LLC; and
WHEREAS, on August 3, 2022, because the RFP's specifications inadvertently
contained requirements that severely limited competition, the City Manager, pursuant to Section
2-367(b)(1) of the Miami Beach City Code, approved the rejection of the sole responsive,
responsible bidder and authorized the issuance of a new solicitation once the specifications and
requirements had been revised; and
WHEREAS, on April 25, 2023, the RFP 2023-015-ND for Emergency Medical Transport
Billing and Collection Services (the "RFP") was issued; and
WHEREAS, a voluntary pre -proposal meeting was held on May 10, 2023; and
WHEREAS, on June 9, 2023, the City received four (4) proposals from Air Methods
Corporation d/b/a Cypheron Healthcare Solutions, Change Healthcare Technology Enabled
Services, LLC, Digitech EMS Billing LLC, and EMS Management and Consultants, Inc.; and
WHEREAS, on June 8, 2023, the City Manager, via Letter to Commission No. 260-2023,
appointed an Evaluation Committee consisting of the following individuals: Joseph Florio,
Firefighter I, Fire Department; Jorge Linares, Fire Division Chief, Fire Department; Femi
Ogunmola, Financial Analyst III, Finance Department; and Victor White, Division Chief, Fire
Department; and
WHEREAS, the Evaluation Committee convened on June 26, 2023, to review and score
the proposals; and
WHEREAS, the Evaluation Committee received an overview of the project, information
relative to the City's Cone of Silence Ordinance and the Government Sunshine Law, general
information on the scope of services, and a copy of each proposal; and
WHEREAS, the Evaluation Committee was instructed to score and rank each proposal
pursuant to the evaluation criteria established in the RFP; and
WHEREAS, the Evaluation Committee process resulted in the ranking of proposers as
follows: Digitech EMS Billing LLC, as the top -ranked proposer; EMS Management and
Consultants, Inc., as the second -ranked proposer; Change Healthcare Technology Enabled
Services, LLC, as the third -ranked proposer; and Air Methods Corporation d/b/a Cypheron
Healthcare Solutions, as the fourth -ranked proposer; and;
WHEREAS, after reviewing all of the submissions and the Evaluation Committee's
rankings and analysis, the City Manager concurs with the Evaluation Committee and
recommends that the Mayor and City Commission authorize the Administration to enter into
negotiations with Digitech EMS Billing LLC, as the top -ranked proposer; further, if the
Administration is not successful in negotiating an agreement with Digitech EMS Billing LLC,
authorize the Administration to enter into negotiations with EMS Management and Consultants,
Inc., as the second -ranked proposer; further if the Administration is not successful in negotiating
an agreement with EMS Management and Consultants, Inc., authorize the Administration to
enter into negotiations with Change Healthcare Technology Enabled Services, LLC, as the third -
ranked proposer; and further authorize the City Manager and City Clerk to execute an
agreement upon conclusion of successful negotiations by the Administration.
NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, that the Mayor and City
Commission hereby accept the recommendation of the City Manager, pursuant to Request for
Proposals (RFP) No. 2023-015-ND for Emergency Medical Transport Billing and Collection
Services; authorize the Administration to enter into negotiations with Digitech EMS Billing LLC,
as the top -ranked proposer; further, if the Administration is not successful in negotiating an
agreement with Digitech EMS Billing LLC, authorize the Administration to enter into negotiations
with EMS Management and Consultants, Inc., as the second -ranked proposer; further if the
Administration is not successful in negotiating an agreement with EMS Management and
Consultants, Inc., authorize the Administration to enter into negotiations with Change
Healthcare Technology Enabled Services, LLC, as the third -ranked proposer; and further
authorize the City Manager and City Clerk to execute an agreement upon conclusion of
successful negotiations by the Administration.
PASSED AND ADOPTED this
SEP 2 0 2023
ATTES� SEP
Rafael E. Granado, City Clerk
13
9nmi
INEOnP ORAIED'
day of yeem et- 2023.
Dan Gelber, Mayor
APPROVED AS TO
FORM & LANGUAGE
& FOR EXECUTION
Cy,� @-30-23
City Attorney Date
MIAMI BEACH
COMMISSION MEMORANDUM
TO: Honorable Mayor and Members of the City Commission
FROM: Alina T. Hudak, City Manager
DATE: September 13, 2023
SUBJECT.A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY
OF MIAMI BEACH, FLORIDA, ACCEPTING THE RECOMMENDATION OF
THE CITY MANAGER, TO AUTHORIZE NEGOTIATIONS RELATING TO
REQUEST FOR PROPOSALS NO. 2023-015-ND, FOR EMERGENCY
MEDICAL TRANSPORT BILLING AND COLLECTION SERVICES;
AUTHORIZING THE ADMINISTRATION TO ENTER INTO NEGOTIATIONS
WITH DIGITECH EMS BILLING LLC, AS THE TOP -RANKED PROPOSER;
FURTHER, IF THE ADMINISTRATION IS NOT SUCCESSFUL IN
NEGOTIATING AN AGREEMENT WITH DIGITECH EMS BILLING LLC,
AUTHORIZING THE ADMINISTRATION TO ENTER INTO NEGOTIATIONS
WITH EMS MANAGEMENT AND CONSULTANTS, INC., AS THE SECOND -
RANKED PROPOSER; FURTHER, IF THE ADMINISTRATION IS NOT
SUCCESSFUL IN NEGOTIATING AN AGREEMENT WITH EMS
MANAGEMENT AND CONSULTANTS, INC., AUTHORIZING THE
ADMINISTRATION TO ENTER INTO NEGOTIATIONS WITH CHANGE
HEALTHCARE TECHNOLOGY ENABLED SERVICES, LLC, AS THE
THIRD -RANKED PROPOSER; AND FURTHER AUTHORIZING THE CITY
MANAGER AND CITY CLERK TO EXECUTE AN AGREEMENT UPON
CONCLUSION OF SUCCESSFUL NEGOTIATIONS.
RECOMMENDATION
It is recommended that the Mayor and City Commission approve the Resolution accepting the
City Manager's recommendation, pursuant to RFP 2023-015-ND, for emergency medical
transport billing and collection services, to negotiate with Digitech EMS Billing LLC, the top -
ranked proposer. The Resolution also authorizes the Administration, if negotiations are not
successful with Digitech EMS Billing LLC, to negotiate with EMS Management and
Consultants, Inc., the second -ranked proposer, and, Change Healthcare Technology Enabled
Services, LLC, the third -ranked proposer, in order of rank. The Resolution also authorizes the
City Manager and City Clerk to execute an agreement upon the conclusion of successful
negotiations.
The solicitation is currently under the cone of silence.
Page 48 of 2938
The Fire Department provides medical transportation services, commonly known as ambulance
services, to residents and visitors. Medical transportation services are critical to transfer patients
quicldy and efficiently from an incident to a health care facility. While in transit, highly trained
personnel provide the emergency medical services that may be needed.
To assist with receiving reimbursement for the costs of the emergency medical and
transportation services provided, the City currently has a contract with a third -party firm
specializing in emergency medical transportation billing and collection services. On September
12, 2018, the Mayor and City Commission awarded a contract for the services to Advanced
Data Processing, Inc., a subsidiary of Intermedix Corporation, pursuant to RFP 2017-002-JC.
The initial term of the Agreement expired on June 26, 2022, and in order to seek a replacement
contract for these services, on February 9, 2022, the Mayor and City Commission authorized
the issuance of Request for Proposals (RFP) 2022-019-ND. Bids were due on April 13, 2022,
and a sole responsive proposal was received from Digitech EMS Billing LLC. Subsequently, on
August 3, 2022, because the RFP's specifications inadvertently contained requirements that
severely limited competition, the City Manager, pursuant to Section 2-067(b)(1) of the Miami
Beach City Code, approved the rejection of the sole responsive, responsible bidder and
authorized the issuance of a new solicitation once the specifications and requirements had been
revised.
ANALYSIS
On April 25, 2023, the City issued RFP No. 2023-015-ND for emergency medical transport
billing and collection services. A voluntary pre -proposal conference to provide information to
proposers submitting a response was held on May 10, 2023. One (1) addendum was issued.
The Procurement Department issued bid notices to 5,990 companies through the e-
procurement system, with 48 prospective bidders accessing the advertised solicitation. RFP
responses were due and received on June 9, 2023. The City received a total of four (4)
proposals from the following firms:
Air Methods Corporation d/b/a Cypheron Healthcare Solutions
Change Healthcare Technology Enabled Services, LLC
Digitech EMS Billing LLC
EMS Management and Consultants, Inc.
On June 8, 2023, the City Manager appointed the Evaluation Committee via LTC # 260-2023.
The Evaluation Committee convened on June 26, 2023, to consider the proposals received.
The Committee was comprised of Joseph Florio, Firefighter I, Fire Department; Jorge Linares,
Fire Division Chief, Fire Department; Femi Ogunmola, Financial Analyst III, Finance
Department; and Victor White, Division Chief, Fire Department. The Committee was provided
an overview of the project, information relative to the City's Cone of Silence Ordinance, and the
Government Sunshine Law. The Committee was also provided with general information on the
scope of services and a copy of each proposal. The Committee was instructed to score and
rank each proposal pursuant to the evaluation criteria established in the RFP. The evaluation
process resulted in the ranking of proposers, as indicated in Attachment A, including the top
three ranked firms as follows:
1 st ranked - Digitech EMS Billing LLC
2nd ranked - EMS Management and Consultants, Inc.
3rd ranked - Change Healthcare Technology Enabled Services, LLC
A summary of each top -ranked firm based on information provided in the proposals follows.
Page 49 of 2938
Digitech EMS Billing LLC
Since being founded in 1984, Digitech EMS Billing LLC has refined its software platform to
create a cloud -based billing and business intelligence solution that monitors and automates the
entire emergency medical services (EMS) revenue cycle. Digitech leverages its proprietary
technology to offer fully outsourced services that maximize collections, protect compliance, and
deliver results for clients. Its mission is to provide the highest quality EMS billing service
centered around superior technology, responsive customer support, real-time reporting, and
integration expertise. Digitech has over 20 years of experience working for Florida EMS
providers.
Digitech is the incumbent providing these services to the City, and the City has been satisfied
with its work and offered positive feedback.
EMS Manaaement and Consultants. Inc.
For 27 years, EMS Management and Consultants, Inc. (EMS MC) has processed over 3.3
million claims annually across 41 states, including over 226,000 claims in Florida. EMS MC has
experience implementing and interfacing with ESO ePCR software as a Platinum Partner, with
over 130 ambulance providers nationally. Its success is based on innovation, advocacy, and
compliance.
Change Healthcare Technology Enabled Services, LLC
Change Healthcare Technology Enabled Services, LLC (Change Healthcare) has 33 years of
experience in billing and medical revenue management, and its adept team helps its clients
implement successful billing strategies. Change Healthcare works with 200+ agencies to
process a high volume of over 1 million transports, which generates approximately $1 billion in
charges. Relevant local experience includes clients such as the City of Miami Department of
Fire Rescue, the City of Hialeah, and the City of Coral Gables.
NotApplicable
FINANCIAL INFORMATION
Since 2019 Digitech has charged the City an annual fee of 4.75% on reimbursements for
medical billing and collections and a $9 fee per Medicaid account processing (appro)dmately
$88,520 annually). In its proposal to the RFP, Digitech proposes an annual fee of 4.65% for
medical billing and collections and a $8 fee for Medicaid account processing (approximately
$85,032 annually), which will result in the City retaining a more significant portion of the
reimbursement revenue collected. Moreover, additional cost savings are expected since the
City no longer needs to lease the hardware and intends to negotiate a rate for the managed
software (ESO ePCR).
Amounts)/Accoungs):
The RFP is intended to be revenue -generating.
After reviewing the submissions and the Evaluation Committee's rankings and commentary,
Digitech EMS Billing LLC (Digitech) is deemed to be the best -qualified provider of emergency
medical and transportation billing and collection services. Digitech has provided these services
to the City of Miami Beach since 1994. Digitech currently processes over 1,000,000 claims
Page 50 of 2938
annually for more than 50 clients in Florida. The firm maintains two Florida offices (Miami Lakes
and Tampa). Digitech has been involved in the Florida Program for Emergency Medical
Transportation (PEMT) since 2016 and, therefore, has an in-depth understanding of Florida
regulations, including Florida Medicaid claims processing.
EMS Management and Consultants, Inc., the second -ranked proposer, and, Change Healthcare
Technology Enabled Services, LLC, the third -ranked proposer, are also well qualified if
negotiations with Digitech are not successful.
For the reasons stated herein, it is recommended that the Mayor and City Commission approve
the Resolution authorizing the Administration to enter into negotiations with Digitech EMS Billing
LLC, as the top -ranked proposer, further, if the Administration is not successful in negotiating an
agreement with Digitech EMS Billing LLC, authorizing the Administration to enter into
negotiations with EMS Management and Consultants, Inc., as the second -ranked proposer;
further if the Administration is not successful in negotiating an agreement with EMS
Management and Consultants, Inc., authorizing the Administration to enter into negotiations with
Change Healthcare Technology Enabled Services, LLC, as the third -ranked proposer; and
further authorizing the City Manager and City Cleric to execute an agreement upon conclusion of
successful negotiations by the Administration.
Applicable Area
Citywide
.. K •E
Leoislatrye Tracking
Fire/Procurement
Description
❑ Attachment A
❑ Resolution
No
Page 51 of 2938
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