Consent 12.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 06/14/2016
- Title:
- Inmate Dental Claim > 6 Months
- Submitted By:
- Ray Falkenberg, Health & Social Services
- Department:
- Health & Social Services
Presentation:
No A/V Presentation
Recommendation:
Approve
Document Signatures:
BOS Signature NOT Required
# of ORIGINALS
Submitted for Signature:
Submitted for Signature:
0
NAME
of PRESENTER:
of PRESENTER:
Mary Gomez
TITLE
of PRESENTER:
of PRESENTER:
Director
Mandated Function?:
Federal or State Mandate
Source of Mandate
or Basis for Support?:
or Basis for Support?:
Inmate medical expense
Docket Number (If applicable):
Information
Agenda Item Text:
Approve payment of an over six month inmate dental claim with date of service April 30, 2015 in the amount of $1,757.
Background:
Please find attached a dental claim from Dr. Jerrod Long for one of our inmates. The inmate received services from Dr. Long on 4/30/15. Dr. Long billed us timely (within 6 months of the date of service). Unfortunately, that date stamped original claim cannot be located.
There was a delay in payment on this claim due to the extensive nature of the services provided and the provider’s failure to obtain pre-authorization for the services. There is no question that the inmate needed to have the services provided and that had the provider called to request authorization, it would have been given. The original claim was for $2,927.00.
Over the last several months and multiple discussions, we were able to negotiate a reduced amount for this claim to $1,757.00. The revised claim with this negotiated amount is attached and dated within 12 months of the date of service, but the revised claim is untimely (not within 6 months of date of service).
I am requesting permission to pay this claim without a date-stamped copy of the original.
There was a delay in payment on this claim due to the extensive nature of the services provided and the provider’s failure to obtain pre-authorization for the services. There is no question that the inmate needed to have the services provided and that had the provider called to request authorization, it would have been given. The original claim was for $2,927.00.
Over the last several months and multiple discussions, we were able to negotiate a reduced amount for this claim to $1,757.00. The revised claim with this negotiated amount is attached and dated within 12 months of the date of service, but the revised claim is untimely (not within 6 months of date of service).
I am requesting permission to pay this claim without a date-stamped copy of the original.
Department's Next Steps (if approved):
Process payment.
Impact of NOT Approving/Alternatives:
Negative relationship impact on local and most convenient source of inmate dental services.
To BOS Staff: Document Disposition/Follow-Up:
N/A. Department will process.
Fiscal Impact
- Fiscal Year:
- 2016
- One-time Fixed Costs? ($$$):
- 1757
- Ongoing Costs? ($$$):
- 0
- County Match Required? ($$$):
- 0
- A-87 Overhead Amt? (Co. Cost Allocation $$$):
- 0
- Source of Funding?:
- General Fund
Fiscal Impact & Funding Sources (if known):
Funds encumbered in jail medical S&CP g/l 100 5000 5220 431.336