HomeMy WebLinkAboutMaster ReportCity of Miami
Master Report
Enactment Number: R-04-0171
City Hall
3500 Pan American Drive
Miami, FL 33133
www.miamigov.com
File Number: 04-00200
Version: 1
File Name: Healthcare Data Management
File Type: Resolution Status: Passed
Reference: Controlling Body: Office of the City
Clerk
Introduced: 2/23/2004
Requester: Cost: Final Action: 3/11/2004
Title: A RESOLUTION OF THE MIAMI CITY COMMISSION WITH
ATTACHMENT(S), ACCEPTING THE RECOMMENDATION OF THE CITY MANAGER
APPROVING THE FINDINGS OF THE EVALUATION COMMITTEE, PURSUANT TO REQUEST
FOR LETTERS OF INTEREST ("RFLI") NO. 02-03-241, THAT THE TOP -RANKED FIRM TO
PROVIDE A COMPREHENSIVE RETROSPECTIVE CLAIMS AUDIT, HOSPITAL BILL AUDIT,
DRG VALIDATION, FRAUD AND ABUSE DETECTION, COORDINATION OF BENEFITS, AND
THIRD PARTY LIABILITY REVIEWS FOR THE CITY OF MIAMI'S MEDICAL PLAN
CURRENTLY ADMINISTERED THROUGH CIGNA, FOR THE DEPARTMENT OF RISK
MANAGEMENT, IS HEALTHCARE DATA MANAGEMENT, INC. ("HCDM"); AUTHORIZING
THE CITY MANAGER TO NEGOTIATE A PROFESSIONAL SERVICES AGREEMENT, IN
SUBSTANTIALLY THE ATTACHED FORM, AT A ONE-TIME FEE, IN AN AMOUNT NOT TO
EXCEED $20,000, FULLY REFUNDABLE, CONTINGENT UPON SAVINGS RENDERED UPON
COMPLETION OF THE CURRENT HEALTH CARE PROVIDER (CIGNA) AUDIT, PLUS THE
RECEIPT OF 35% OF TOTAL RECOVERED FUNDS; ALLOCATING FUNDS FROM ACCOUNT
CODE NO. 514401.623301.6.657; DIRECTING THE CITY MANAGER TO PRESENT THE
NEGOTIATED AGREEMENT TO THE CITY COMMISSION FOR CONSIDERATION.
Sponsors:
Notes:
Indexes:
Attachments: 04-00200-cover memo.pdf,04-00200-budgetary impact analysis.pdf,04-00200-memo from evaluation
committee.pdf,04-00200-claims audit.pdf,04-00200-request for recommendation.pdf,04-00200-exhibitl-
psa.pdf,04-00200-exhibit 2-scope of services.pdf,04-00200-exhibit 3-
compensation.pdf,04-00200-Substitute Memo-4.pdf,04-00200-Substitute
Agreement-5.pdf,04-00200-email-6.rtf,04-00200-email-7.htm,04-00200 attorney memo-8.pdf,
History of Legislative File
Version: Acting Body: Date: Action: Sent To: Due Date: Return Date: Result:
1 Office of the City 3/5/2004 Reviewed and
Attorney Approved
1 City Commission 3/11/2004 ADOPTED WITH Pass
MODIFICATIONS
1 Office of the City 3/23/2004 Reviewed and
Attorney Approved
Action Note: Only the Agreement was modified. Legislation not effected. (Law)
1 Office of the Mayor 3/25/2004 Signed by the Mayor
City ofMiami Page 1 Printed on 9/1/2016
City of Miami
Master Report
Enactment Number: R-04-0171
City Hall
3500 Pan American Drive
Miami, FL 33133
www.miamigov.com
City of Miami Page 2 Printed on 9/1/2016