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: Amendment to the Agreement with Trifecta Group, Inc. to Provide Revenue Cycle Advisor Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Trifecta Group, Inc. to provide revenue cycle advisor services, extending the term of the agreement through May 31, 2026, and increasing the amount of the agreement by $735,000 to an amount not to exceed $1,735,000.
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BACKGROUND:
San Mateo County Health and San Mateo Medical Center (SMMC) are implementing a new electronic health record (EHR) system (Epic), which will include significant advances in revenue cycle capabilities that address accounts receivable management, net revenue, claim denials, and increased workflow automation. To support this project, a Request for Proposals for revenue cycle advisory services for the Epic transition was completed in June 2023, and Trifecta Group, Inc. (Trifecta) was elevated due to their knowledge and expertise of California safety net public hospitals, FQHC billing, and the Epic system.
In October 2023, SMMC entered into an agreement with Trifecta for the term of October 1, 2023, through September 30, 2025, in an amount not to exceed $1,000,000.
DISCUSSION:
Trifecta has been providing documentation of current billing and collection workflows; creating benchmark data; performing a gap analysis between Epic best practices and current processes in SMMC's patient financial services (PFS); and assessing staffing, procedures, and work distribution to maximize effectiveness and efficiencies in preparation for the transition to Epic while concurrently providing guidance on the Epic build.
This amendment will extend the term of the agreement by eight months and increase the not to exceed ...
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