HomeMy WebLinkAboutAmendment No. 1 to the Professional Services Agreement between CMB & Digitech EMS Billing LLC Zt;23��2�z�
Docusign Envelope ID:43717422-6373-4CEC-8164-44924EFABASF
Docusign Envelope ID:OE63A9A0-A2C4-4857-6660-F89671690B4C
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23�015-01 �� EfNERGENCY MEDICAL TRANSPORT BILLING AND COLLECTION
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x,m. Type l-Contract,amendment,change order,or task order resulting from a procurement-issued competitive solicitation.
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Type 7 -Other contract,amendment,change order,or task order not resultin�from a procurement-issued competitive solicrtation.
Type 3-t�dependent Contrador Agreement QCA} Type 6-Tenant Agreetnenl
Type 4-Grant agreements with the Ciry as the recipient Type 7-Inter-governmental agency agreement
Type 5-Grant agreements with the City as the gra�to� Type 8-Other: __
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On September 13,2Q23,the Mayor and�City Commission awarded and authorized the execution�of an Agreement with Digitech�
EMS Bil{ing LLC,1nc.(EMS)for Emergency Medical Transport Billing and Coflection services pursuant to RFP 2023-015-ND.
An amendment to the contract is required due to the Bipartisan Budget Act of 2018,which mandates that all ground ambulance
providers report data on expenditures,revenues,utilization,and operations to the Centers for Medicare and Medicaid Services
{CMS).EMS will conduct the required data collection and reporting for the continuous 12-month period selected by the City,
beginning in 2023.This data will help CMS evaluate current payment rates and guide future reimbursement decisions.
The Contractor wilV coNect,analyze,and compile the City's financiai and operational data into the Medicare Ground Ambulance
Data Collection Survey(GADCS),covering costs,revenue,service usage,and other keY metrics for CMS review.The cost for these
services is$35,000.However,if one or more agencies piggyback on the City's agreement with EMS,the City will receive a$15,000
credit,provided the agreement remains in effect for the initial three•year term or during the two one-year renewal options.
Based on the justification stated herein and pursuant to Section 12.1 of the Agreement concerning changes and additions and
Section 2-369 of the City of Miami Rcach Code, this item seeks the City Manager's signature on Amendment No. 1 of the
Agreement.
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March 29,2�24-March 28,2027 2 S Years
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Grantlunded Yes No State fcderal. Other
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1 520,�00 011.1220.000312 Yes X No
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1. For contracts longer than five years,contact the Procurement Department. 2.Attach any supporting explanation �eeded. 3.
Budget approval indicates approval for the current fiscal year only.Future years are subject to City Commission approval of the
annual adopted operating budget.
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City Commission Approv�d: Ycs X No Retiolution No CC Ag�nda Itcm No CC Meeting Date�
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If no,explain why CC approval is nol required:
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Legal Form Approved: X Yes No If no,explain below why form approval is not necessary: _
Docusign Envelope ID:43717422-6373-4CEC-81B4-44924EFABA5F
Docusign Envelope ID:OE63A9A0-82C4-4857-B660-F89671690B4C
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Grants.
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Budget: w Information Technology: N/A
Yelina Iglesias l�l 2/6/2025 � 10:31 r
Tameka Otto Stewart —0o°°"a^��"Y
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Risk Management: j`lk"°"""' `"' Fleet&facilities: N/A
Human Resources: N/A Keviewer: — 2/4/2025 � 10:55 E5r
Monica Garcia ��ti
Revicwcr:
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Docusign Envelope ID:43717422-B373-4CEC-8164-44924EFABASF
Docusign Envelope ID:OE63A9A0-82C4-4857-BB60-F8967169064C
F[RST AMF,1�D�'IENT
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PItQI�F�SSIt�l�1A[,�FRVICFS �,GRF,�MFNT CCINTRACT NO.23-(►IS-01
2/20/2025 I 1:12 EST
'I'HIS FIRS'l' �ivtENDMEI��`T (the "�lmenclrnenf') is made an�l c=ntcred intu tP�is __ day of
_ ___, 2024 (the '`rffective Date") by anci be��vicen the City aF Nti�ini Beaeh, Florida
(`'City") and Lligiteeh 1�;M5 C�illitig LLC, �i I_.imitcd C.iability C;ompany whose address iti 480
Bedfo��d Raad, �31d�. 60�, 2"`i �'loor, Chappaqua,New Y«rk, 1OS 1�� ("Contractor").
WCIEREAS, City and Cantractoe arc partics to the Prof'cssional Se�viees Agreemerit Nc�. 23-015-
Ol(tlae"Agreemenfi")approved March Z9, 2U24; and
K'HER�AS, I�3cginning on Januaiy 1, �022, the Centecs fo�� h�1e�3icare& Meciica�e Sc�vi�as (CMS)
rec3uires selected grc�und ambulanee organizations, inciuding City, t� collcct and report cost,
revenue, utiliiatit�n, <�nd other in#i�rmation lhrougtl the Mcdicar� Ground Ambulance Data
Collecti�n Syslem(GADCS); and
WHF.REAS, City has rc;eu7uested anci Contractor agrees ta providc GADCS reporting serviccs; and
��'flE,t�EAS, the pai�tics wish to furthcr �mend certain provisions of� the Prc�fessional Seivices
Agreement No. 23-01 S-9l as set forth Ilerein
1VOW THEXEFOR�, City and Gontractor a�ree to anzend the Agreement by addin�;the followin�
provisiuns:
1. Contractar�r•ill perfarm the fallowing activities reiated to City's Medicarc Ground
An�bulancc Data Cullection submission tu CMS
a) C'or�tractor will �v�rk with City finanee anc�operations tcams to eotle�t all data f��r the
sttbmission. t)uring the proj�ct kickoff call,Contractc�r wilt walk thrUugh the c�ata
rcquest�and c�nsure lhaf t�earns are equipped to provi�te st�urce data ilcedcd for
cc�mplctio»c�f�thc GADCS instrumcnt.
b) C.outractar will comb throu�h expenditure data, includin�;labor, facility, vehicic,and
other cost int��rinaticm to establish classitications for thc GAL7CS instru��nent.
c) Contract�or will �;rc;ate workin�filcs, as necessary, tc�process cxpenditurc;data.
"1'hroughc�ut thc anatysis of cxpcnditures and other data elemcnts,Contractor will
incorporate automated checks as one c�f the first steps in t}�e Quality Assurance('`QA")
�roc��ss.
d) Contractor will collcct and ailalyzc computcr-aided dispatch("CAD")data in ur��ler to
develop appropriate cost allocatiort methodol��gies. C<}ntractor�vill analyzc thc.City's
data and deter-mine the optimal approach to �illocation of costs.
�} C'��ntractor wil( pre}�are aIl �vurking tiles and present a drait survcy submission to C'ity
stakcholdcrs.
� Po(lo�ri�a�the present�ition oi�the��orking file� and dratt 5urvey, Contractor�vill sc�licit
fc�dl�ack frum the City and make revisions neecssary to finalize the subrnission
pacl<age.
P,�cr.I
Docusign Envelope ID:43717422-B373-4CEC-81B4-44924EFABASF
Docusign EnvelopelD:0E63A9A0-82C4-4857-B860-F896716906AC
g) Contractor will enter ail data into the GADCS instrumey�t, tipload reyuired supporting
documentation (if applicable), and�.�repare the survey t����certification ti-om the City�.
h) Contractor wil{promptly respond to audit requests frc�m CMS.
i} tn the unlikcly cvent that thc dcsk rcvicw or audit results rcquirc furthcr action,
Ccintract<7r will incorporate r�;visiuns as nceded int� the survey to ccrtify and submit
tinal infornlation.
j} Contractor will pre;sent results ofany CMS audits tc� City stakeholders. Contractor
wishes to address any of the City's qucstions or c�ncerns prior t��submission af�the
survey to C'MS,h�it if there are any issucs that arise during the audit process,Contractor
wi11 kecp City apprc�priatcly cngaged.
2. City will perfornrt the following activitics for GADCS submission
a) City will identify and assemble the internal praject team The type of data requested
may rcquire participation fi•o�t� finance,operations, maintenance,human resources, and
other busincss units in thc City's parent agency. City will identify who necds to bc
involved in the GADCS data collection and in the review ��rocesses.
b) City will respond lo Cc>ntr�►ctor data requ�st fr�r the GADCS project.
c) City will review and�rrovide Contr�ctor feedback of working tiles and GADCS portal
inpttts.
d) While Contractor staff will servc in the"Data Submittcr"role for put-��oscs of cntcring
data into tt�e CMS portal, the City will need to register foc the portal and serve in the
'`Data Certificr"rolc.
e} City will communicate with Contractor rcgarding CMS inquirics. If CMS rc:yucsts
additional information regarding thc City's GADCS submission, Contractor anticipatcs
tliat tht City will approve any commuuications or supporting documentation developed
by Contractor in order to respond to CMS.
3. 'The tcrm of this Agreement shail be one(1) Medicare C:ronnd Aml�ulancc Data
Collecti<>n system reporting periad,detincd as thc continuous IZ-month period sciccted
by City to rcport to C'enters for Mcdicare and Mcdicaid Serviccs('`CMS")thc GADCS
data, cummcncinb in 2023. Data submis5ion to CMS will occur no later than five months
after tlic cnd of tlie City's collection period.
Contractor will invoicc City for scrviccs perfarnlcd a fec in thc amount of 535,000.
Contractor will nc�t invoice Gity for any portion of the fee until thc GADCS report has been
successfully suhmittcd t�� CMS.
t�or th��se�gencies that have piggybacked of�f the A�,�reemcnt, Contzactor wiil credit the
Citv in tl��e amount of$]�,000. This clausc wiil only apply to the City, and shafl not �apply
to any partics that piggyhack off of the Agreetnent or this Amenclment. Ifi ihe City
tern�iiiates thc A�recmcnt durin�thc initial 3-yctir Cenn,or during th�t�vo i-year rene�va]
tenns, dicn the Sl 5,p0U.00 credit shail bc rcvoked, and City shall pay Cemiractor
�15,000.O0 within thiity(30) days of terminativn.
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Docusign Envelope ID:OE63A9A0-82C4-4857-BB60-F8967169064C
4. Cupitalized tern�s nc>t othei-wise ciefined in thi� Ainendment shall have the meanings
ascribed to s«ch tcrms in the Agreement. All tenns and ccmdit'sons of the h};reement ancl
prior�unendinents ar�hereby ratitied and shali remain in full force and cffect exccpt to th�
cxtcnt this Amendn�ent expressly mc�difies or is inconsistcnl with the tcrtlis and conditions
of the Agreement or piior amcndmei�ts,in�uhich case the terms of this Amendii�e►�t shall
be cantrollin�.
[1�H�1Z�MA(aV�UER OF"CI11S PAC.iF IS IN1'I?N"fIOtiALLY Lf:l'T l3[.ANK]
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IN WITIVFSS�I', the parties have ex�;cuted this Aincnciment to HYe abavc;-refcreneed Agrceinei7l
ef£ectivc as of the Effective Date.
City: Contractar:
CITY C)F MIANII BEACH DIGITECH F,MS BILLING LLG
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Vame:_�ri a ..-�n}Lr Namc: :Vlaz-k Sc}iiowitz
I�'iClc: �.�_.__��q��_ , Tit(e: President and CEO
CDocuSigned by:
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FABBBAOBFBSE4CF..
aafael Granado - City Clerk
2/20/2025 I 1:12 EST
APPRQV�D AS Tt�
FQRP�i & LLINC�U�GE
&FUR EXECUT�pN
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Docusign Envelope ID:43717422-6373-4CEC-8164-44924EFABA5F
Docusign Envelope ID:UE63A9A0-82C4-4857-BB60-F8967169084C �
Nli�mi B��ch �L �ADCS AM�NDME�J1" NU 1
F��M ��'PRQV�C�
Final Audit fteport 2024-12-12
Created: 2U24-12-10
By: Matt Mandell(matt@mandellmandell.com)
Status: Signed
Transaction ID: CBJCHBGAABAAFggsUShm88dWf-xgeEztSGvcB2mysvvh
"Miami Beach FL GADCS AMENDMENT NO 1 FORM APPR�V
y ED" History
, Dacument created by Matt Mandell(matt@mandeUmandelLcom)
2�24-12-10-5:11:35 PM GMT-IP address:9fi.246.169.167
-': Document emailed to Mark Schiowitz(mschiowitz@digitechcomputer.com)for signature
2024-12-10-5:11:43 PM GM7
�''; Email viewed by Mark Schiowitz(mschiowitz@digitechcomputer.com)
2024-12-12-2:47:36 PM GMT-IP address:104.28.94.11
`;; Document e-signed by Mark Schiowitz(mschiowitz@digitechcomputer.com)
Signature Date:2024-12-12-2:48:27 PM GMT-Time Source:server-IP address:10428.92.11
�;� Agreement completed.
2024-12-12-2:48:27 PM GM7
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