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 TruBridge, LLC to Provide a Claims Editing Software and Management System
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with TruBridge, LLC to provide a claims editing software and management system, extending the term by two years through April 30, 2025, and increasing the amount by $602,400, to an amount not to exceed $1,602,400.
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BACKGROUND:
San Mateo Medical Center's (SMMC) Patient Financial Services division has been utilizing a third-party software system for editing and managing insurance claims since 1994.
In June 2017, a Request for Proposals was conducted for a software system that would provide claims editing and management. TruBridge, LLC (TruBridge) was selected for its significant billing expertise, user-friendly software, and the ability to interface with the necessary systems within County infrastructure.
In June 2020, SMMC and TruBridge entered into an agreement for the term of May 1, 2020, through April 30, 2023, with two one-year options to extend, in an amount not to exceed $1,000,000, with anticipation that an extension will be needed.
DISCUSSION:
SMMC continues to have a need for a claims editing software and management system to fulfill their operational needs. For that reason, SMMC wishes to extend the agreement to avoid a break in services while SMMC undergoes the transition to a new electronic health record system (Epic). The continued use of a claims editing and management system and the contract with TruBridge will be evaluated during the Epic project implementation.
County Attorney has reviewed and approved the resolution and amendment as to form.
The resolution contains the County's standard provisio...
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