Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with Craneware, Inc. to Provide Chargemaster Management and Pharmacy Consulting and Audit Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Craneware, Inc. to provide chargemaster management and pharmacy consulting and audit services for the term of July 31, 2024, through July 30, 2029, in an amount not to exceed $1,300,000.
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BACKGROUND:
The charge description master (CDM) is the source electronic document listing prices for all services and supplies San Mateo Medical Center (SMMC) provides for its patients. A Request for Proposals (RFP) for chargemaster management services was completed in July 2023 and Craneware, Inc. (Craneware) was elevated due to their past performance record and their additional service that other proposers did not offer. A separate RFP for pharmacy consulting and audit services was completed in June 2023 and Craneware was elevated due to their ability help maintain SMMC's pharmacy drug master file in a way that allows for accurate charging, coding, and documentation.
DISCUSSION:
SMMC continues to need CDM software and professional services to validate accurate coding. SMMC is recommending the Board approve this agreement with Craneware to provide CDM services and provide formulary reviews to confirm that items in the master file have appropriate billing codes and conversion factors attached to them. During both the transition to Epic, as well as once Epic has gone live, this agreement will help ensure SMMC maintains an accurate charging and medication build to support billing compliance and accuracy. Compliant and accurate billing means CPT codes and conversion factors are accurate, charge amounts, and drug waste are appropriately billed,...
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