08 - Medicare Ground Ambulanca Data Collection SurveyItem No. 8
Memorandum
TO: Mayor, Mayor Fro -Tem & City Council
Grayson Path, City Manager
FROM: Thomas McMonigle, Interim EMS Director
SUBJECT: MEDICARE GROUND AMBULANCE DATA COLLECTION SURVEY
CONTRACT
DATE: March 02, 2023
BACKGROUND: As part of the Bipartisan Budget Act of 2018, the Centers for Medicare and
Medicaid Services (CMS) requires that all providers of ground ambulance services collect and
report expenditures, revenues, utilization, and other departmental statistics. This data will be
used to assess current payment rates and inform future reimbursement rates. Half of all ground
ambulance providers have or will begin collecting data in 2022, either by calendar or fiscal year.
The remaining half will begin collecting data in 2023. Precise and complete cost data collection
is critical to the establishment of adequate future rates. Paris EMS was notified in 2022 of its
inclusion in the 2022 fiscal year data collection group, with the final submission of data to be
completed in February 2024. "Failure to sufficiently submit the required information will result
in a 10 percent reduction to payments under the Ambulance Fee Schedule (AFS) for one year"
(CMS, 2019).
STATUS OF ISSUE: This survey entails data collection from over 200 data sets with everything
being submitted in the proper format in order to be accepted. Knowing which data sets to collect
from and proper formatting are the key aspects to a successful submission. While Paris EMS
staff is capable of collecting the needed data, our personnel does not have knowledge of exactly
which data points are needed nor the proper format of such data. Public Consulting Group (PCG)
is a company that specializes in such data collection and will provide comprehensive and
complete survey preparation and audit support. The City of Paris currently contracts with PCG to
assist in receiving supplemental funding through the State of Texas for indigent payers. While
Paris EMS will still do extensive work collecting the data, PCG will ask for the specific data sets
needed, compile the data, and present in the proper format for a successful submission. PCG will
also analyze the data for verification purposes, prepare and audit the Survey and all supporting
documentation, and will submit the Survey on behalf of the City of Paris and Paris EMS. They
will also provide federal audit support of this Survey as necessary. Entering into a contract with
PCG to complete the Survey will cost $35,000 and will assure that the Survey is completed in an
accurate and timely manner. Paris EMS received $1,792,355.28 in Medicare payments in
calendar year 2022. Based on those numbers, failure to appropriately complete the survey could
result in a loss of over $179,000. With rising call volumes and dependence on Medicare funding,
we believe those numbers will continue to rise and could be even more at the end of the next
fiscal year.
BUDGET: The cost to execute this contract would be included in the budget for fiscal year
2023-2024. No additional costs will be incurred in the current budget.
RECOMMENDATION: Execute the contract agreeing to services provided by PCG to complete
the Medicare Ground Ambulance Data Collection Survey.
9PUBLIC City of Prrris ErVS
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CONTRACTOR AGREEMENT
This Agreement ("AGREEMENT") is entered into by and between the City of Paris ("PROVIDER") and
Public Consulting Group LLC ("PCG" or "CONTRACTOR") as of March 1, 2023 ("Effective Date").
WHEREAS, the City of Paris, Texas operates a ground ambulance service under the name "City of Paris
EMS;" and
WHEREAS, The Centers for Medicare and Medicaid Services (CMS) implemented a Ground Ambu-
lance Data Collection System in response to legislation passed by Congress in the Bipartisan Budget Act
of 2018 requiring providers of ground ambulance services to collect and report expenditures, revenues,
utilization, and other data; and
WHEREAS, CONTRACTOR possesses professional skills that can assist PROVIDER in collecting and
reporting the required data elements to complete the Ground Ambulance Data Collection System; and
WHEREAS, PROVIDER wishes to engage CONTRACTOR as an independent contractor to perform
professional services in connection with this initiative;
THEREFORE, for good and valuable consideration, the receipt and adequacy of which is acknowledged,
PROVIDER and CONTRACTOR hereby agree as follows:
1. Description of Services
CONTRACTOR will provide the professional services assigned by PROVIDER and more fully
described in Attachment A (the "Contracted Services"). CONTRACTOR acknowledges and
agrees that time is of the essence in the value of the Contracted Services and shall render such
Contracted Services in a prompt and diligent manner.
2. Term
CONTRACTOR will commence performance for the Contracted Services under this AGREE-
MENT on March 1, 2023 and will complete performance by June 30, 2026 (the "Term"). Unless
otherwise specified by PROVIDER in writing, CONTRACTOR will provide the Contracted Ser-
vices for the full Term.
Upon the expiration or termination of this AGREEMENT for any reason, all rights granted here-
under shall immediately terminate except for those concerning compensation, confidentiality, in-
tellectual property, or any other provision that, by its terms, is intended to survive the expiration
or termination of this AGREEMENT.
3. Compensation
a. PROVIDER will compensate CONTRACTOR pursuant to the provisions contained in
Attachment B and this Section 3, and will not pay CONTRACTOR any other benefits,
expenses, or compensation. The compensation arrangement may be changed by written
agreement of the parties.
b. PROVIDER will compensate CONTRACTOR within thirty (30) days following the re-
ceipt of any billing statement(s) from CONTRACTOR that comport with the terms of
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this AGREEMENT in Attachment B. CONTRACTOR shall submit billing statements
directly to the PROVIDER Contact Person identified in Section 5.
C. Upon termination or expiration of this AGREEMENT, CONTRACTOR will be entitled
to receive compensation for Contracted Services satisfactorily provided prior to the effec-
tive date of termination or expiration.
4. Termination
This AGREEMENT may be terminated immediately by either party following a material breach
of this AGREEMENT and a failure to cure such breach within a reasonable period not to exceed
ten (10) business days.
5. Notices and Contact Persons
Any notices, requests, consents and other communications hereunder shall be in writing and shall
be effective either when delivered personally to the party for whom intended, e-mailed with an
acknowledgment of receipt, or five days following deposit of the same into the United States mail
(certified mail, return receipt requested, or first class postage prepaid), addressed to such party at
the address set forth below, who shall serve as Contact Person(s) unless replaced by a party by
written notice to the other party:
For CONTRACTOR:
Sarah DiCicco
Senior Consultant
816 Congress Ave, Suite 1110
Austin, Texas 78701
737-443-7420
sdicicco@pcgus.com
For PROVIDER:
Thomas McMonigle
EMS Chief
City of Paris EMS P.O. Box 9037
Paris, Texas 75461
903-784-9228
emsdirector@paristexas.gov
6. CONTRACTOR Representation
CONTRACTOR represents that it is not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from participation in transactions by any federal,
state, or local governmental authority. CONTRACTOR shall immediately notify PROVIDER re-
garding the circumstances if this representation becomes no longer accurate during the term of
this AGREEMENT.
7. Standards of Conduct
CONTRACTOR shall comply with all applicable laws, rules, regulations, and standards of ethical
conduct, including those relating specifically to the performance of the Contracted Services under
this AGREEMENT.
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8. Relationship of the Parties
a. The parties agree that CONTRACTOR is an independent contractor, and that neither it
nor any of its employees is an employee of PROVIDER, nor are the parties hereto en-
gaged in a joint enterprise of any kind.
b. CONTRACTOR shall secure and maintain all insurance, licenses, and/or permits neces-
sary to perform the Contracted Services. CONTRACTOR shall pay all applicable state
and federal taxes including unemployment insurance, social security taxes, and state and
federal withholding taxes. CONTRACTOR understands that neither it nor its employees
will be eligible for benefits or privileges provided by PROVIDER to its employees. PRO-
VIDER will deliver to CONTRACTOR statements of income at the end of each tax year
consistent with its independent contractor status.
C. Except as maybe otherwise provided in this AGREEMENT, CONTRACTOR has com-
plete and exclusive authority over the means and methods of performing the Contracted
Services, need not adhere to policies and procedures applicable to PROVIDER employ-
ees, and may perform the Contracted Services according to its own schedule at its own
offices or at any other location. CONTRACTOR shall hire its own employees, use its
own tools and equipment, and purchase its own supplies.
d. CONTRACTOR has no authority to and shall not purport to bind, represent, or speak for
PROVIDER or otherwise incur any obligation on behalf of PROVIDER for any purpose
unless expressly authorized by PROVIDER.
9. Record Maintenance
With respect to all records of any kind that CONTRACTOR acquires or creates for purposes of
performing the Contracted Services, CONTRACTOR shall not knowingly destroy records that
are required to be preserved by law and shall maintain project records in an orderly manner.
10. Assignment
This AGREEMENT may not be assigned by either party without the prior written consent of the
other party, which consent may not be unreasonably withheld or delayed. Notwithstanding the
foregoing, this AGREEMENT may be assigned by either party: (i) to one of its affiliates or sub-
sidiaries; or (ii) in connection with a' merger, consolidation, or sale of all of the equity interests of
the party, or a sale of all or substantially all of the assets of the parry to which this AGREEMENT
relates.
11. Proprietary or Confidential Information
For purposes of fulfilling its obligations under this AGREEMENT, one party ("Disclosing
Party") may convey to the other party ("Receiving Party") information that is considered proprie-
tary and confidential to the Disclosing Parry.
a. "Proprietary or Confidential Information" is defined as information — including but not
limited to trade secrets, strategies, financial information, sales information, pricing
information, operational techniques, software, processes, strategies, procedures, plans,
know-how, ideas, inventions, and intellectual property — that (i) reasonably would be
considered confidential and proprietary notwithstanding the absence of any designation;
(ii) has not previously been published or otherwise disclosed by the Disclosing Party to
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Medicare Ground Ambulance Data Collection Services
the general public, and (iii) has not previously been available to the Receiving Party or
others without confidentiality restrictions. In addition, the term "Proprietary or
Confidential Information" shall also mean all information or data, regardless of whether
it is in tangible form, that is disclosed or otherwise made available by the Disclosing
Party to the Receiving Party and designated as "confidential" or "proprietary" by the
Disclosing Party. Such designation shall be clear and in writing, either before the
Proprietary or Confidential Information is disclosed or within a reasonable time
afterwards. Proprietary or Confidential Information does not include information that,
without a breach of this AGREEMENT, is (i) known to the Receiving Party without
restriction when received, or thereafter developed independently by the Receiving Party;
(ii) obtained by the Receiving Party from a source, who is lawfully in possession of such
information (other than the Disclosing Party) through no breach of this AGREEMENT or
any other confidentiality obligations; or (iii) in the public domain when received, or
thereafter in the public domain through no fault of the Receiving Party.
b. The Receiving Party shall preserve Proprietary or Confidential Information securely and
in strict confidence, exercising no less than the same degree of care used to protect the
security and confidentiality of its own confidential and proprietary information, and in
any event no less than reasonable care.
C. The Receiving Party shall use Proprietary or Confidential Information solely for purposes
of the Contracted Services, and for no other purpose, and shall disclose Proprietary or
Confidential Information only to such officers and employees of the Receiving Party with
a need to know such Proprietary or Confidential Information for purposes of those Con-
tracted Services. The Receiving Party shall not divulge any such Proprietary or Confi-
dential Information to any employee who is not working on matters relating to this
AGREEMENT and the Contracted Services, without the prior written consent of the Dis-
closing Party.
d. If the Receiving Party is requested or required to disclose Confidential Information pur-
suant to a subpoena or an order of a court or governmental agency having jurisdiction, the
Receiving Party shall, prior to any disclosure of Confidential Information: (1) provide the
Disclosing Parry with written notice of the existence, terms, and circumstances surround-
ing the legal or governmental request or requirement, within two (2) business days of re-
ceiving it; (2) promptly consult with the Disclosing Party on taking steps to resist or nar-
row the request; (3) cooperate and assist the Disclosing Party with its efforts to obtain an
order or otherwise limit or restrict the disclosure of its Confidential Information that is
subject to the legal or governmental request or requirement; and (4) only after fully com-
plying with the above steps, if disclosure of Confidential Information is still required, fur-
nish only such portion of the Confidential Information as the Receiving Party is advised
by counsel is legally required to be disclosed.
e. Rights and obligations under this AGREEMENT shall take precedence over specific leg-
ends or statements that may be associated with Proprietary or Confidential Information
when received.
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1ledicare Ground Ambulance Data Collection Services
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L The parties agree that the Disclosing Party would suffer irreparable harm hereunder if
Proprietary or Confidential Information were improperly released, conveyed, or trans-
ferred by a Receiving Party, and that in such situation the Disclosing Party shall be enti-
tled to, in addition to any other remedies, the entry of injunctive relief and specific per-
formance.
g. Upon termination or expiration of this AGREEMENT, each party shall cease use of Pro-
prietary or Confidential Information received from the other party. At the request of the
Disclosing Party, the Receiving Party shall promptly destroy all physical copies of such
information in its possession, custody, or control and shall furnish the Disclosing Party
with written certification of such destruction within thirty (30) days of such request. Al-
ternatively, if the Disclosing Party fails to provide such a written request to the Receiving
Party within ten (10) days of the termination of this AGREEMENT, the Receiving Party
shall return all such physical copies of such information to the Disclosing Party. If return
is not practicable, the Receiving Party shall so notify the Disclosing Party and shall keep
such information secure and confidential in perpetuity.
h. The Receiving Party shall immediately notify the Disclosing Party upon discovery of any
loss or unauthorized disclosure of its Proprietary or Confidential Information.
Ji. The parties hereto acknowledge that PROVIDER is a governmental entity subject to the
Texas Public Information Act. Should a request be made under that Act for Proprietary or
Confidential information belonging to CONTRACTOR, PROVIDER will notify CON-
TRACTOR and request an open records ruling from the Office of the Attorney General
of the State of Texas asserting the confidential and proprietary nature of the information
as required by law.
j. The parties will at all times abide by the requirements of both the Health Insurance Porta-
bility and Accountability Act of 1996 (HIPAA) and the Health Information Technology
for Economic and Clinical Health (HITECH) Act:
12. As -Is Information and Data
The parties agree and acknowledge that CONTRACTOR will receive all information and data
from PROVIDER on an as -is basis. CONTRACTOR is not responsible for errors or omissions in
any data that it receives from PROVIDER, nor for any inaccuracies or mistakes in the survey that
result from errors or omissions in information received from PROVIDER. CONTRACTOR is not
responsible for reviewing, evaluating, or verifying the accuracy or completeness of any infor-
mation received by PROVIDER. CONTRACTOR is not liable for any reimbursement, refund, or
contribution should PROVIDER be subject to penalties in connection with the Contracted Ser-
vices.
13. Intellectual Property
Each party retains all right of interest in any work product and all intellectual property that it con-
ceives, devises, or develops in connection with the performance of the Contracted Services under
this AGREEMENT, or that it owned prior to execution of this AGREEMENT, except as may be
specifically assigned or transferred in a written contract. CONTRACTOR guarantees that its use
or creation of any intellectual property under this AGREEMENT does not infringe upon the intel-
lectual property rights of any third party. Notwithstanding the above, PROVIDER will have all
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City of-Paris EMS
4, r e, Medicare Ground Ambulance Data Colleclion .Services
rights of ownership to the final completed survey generated in connection with the work con-
tracted for herein.
14. Conflicts of Interest
The parties understand that CONTRACTOR is not required to perform the Contracted Services
on a full-time basis for PROVIDER and may perform services for other individuals and organiza-
tions consistent with the limitations in this AGREEMENT.
15. Waiver
The failure of a party to enforce a provision of this AGREEMENT shall not constitute a waiver
with respect to that provision or any other provision of this AGREEMENT.
16. Entire Agreement
This AGREEMENT (including the attachments) constitutes the entire agreement between the par-
ties with respect to the subject matter of the Contracted Services, and supersedes all prior agree-
ments and understandings, both written and oral. Notwithstanding the foregoing, any separate
written agreement between the parties regarding the confidentiality and security of information
exchanged or used by the parties for purposes of this AGREEMENT shall be effective unless and
until it is specifically terminated.
17. Amendment
This AGREEMENT may be amended only by written agreement of the parties, signed by author-
ized representatives and referencing this AGREEMENT.
18. Severability
If any provision in this AGREEMENT is found by a court of competent jurisdiction to be invalid
or unenforceable, the remaining provisions in this AGREEMENT shall continue in full force and
effect.
19. Applicable Law and Venue
The parties agree that this AGREEMENT is governed by the laws of the State of Texas. The par-
ties also consent to jurisdiction in the courts of the State of Texas and agree that such courts shall
have exclusive jurisdiction over the enforcement of this AGREEMENT. Further, the parties agree
that venue for any court action or proceeding arising out or relating to this AGREEMENT shall
be in Lamar County, Texas.
20. Force Majeure
Neither party shall be responsible for delays or failures in performance resulting from a Force
Majeure Event. For the purpose of this AGREEMENT, a "Force Majeure Event" means any cir-
cumstance not within the reasonable control of the party affected that cannot be prevented,
avoided, or removed by such party, and that materially and adversely affects the ability of that
party to perform its obligations under this AGREEMENT. Events of Force Majeure shall include,
but not be limited to:
a. any act of war (whether declared or not), hostilities, invasion, military action, nuclear catas-
trophes, acts of terrorism, or civil disorder;
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Medicare Ground Ambulance Data Collection Services
b. a strike or strikes or other industrial action or blockade or embargo or any other form of civil
disturbance (whether lawful or not);
c. natural disasters, including, but not limited to, earthquakes, fires, floods, landslides, tsunamis,
volcanic activity, tornadoes, hurricanes, blizzards, and other exceptional adverse weather
conditions;
d. loss or malfunction of electricity supply or of other essential utilities, communications. or
computer (software and hardware) services;
e. sabotage or piracy;
E plague, epidemic, pandemic, outbreaks of infectious disease or any other public health crisis,
including quarantine or other employee restrictions;
g. act of government authority, compliance with any law or governmental order, rule, regulation
or direction, curfew restriction, or expropriation;
h. other unforeseeable circumstances beyond the control of the parties against which it would
have been unreasonable for the affected party to take precautions.
The parties shall consult together following the occurrence of a Force Majeure Event to agree to
any necessary and reasonable modifications to this AGREEMENT.
21. Miscellaneous
a. EXCEPT AS EXPRESSLY PROVIDED IN THIS AGREEMENT, PCG DOES NOT
MAKE ANY WARRANTY WITH RESPECT TO THE CONTRACTED SERVICES,
WHETHER EXPRESS OR IMPLIED, AND SPECIFICALLY DISCLAIMS ANY IM-
PLIED WARRANTIES, WHETHER OF MERCHANTABILITY, SUITABILITY, FIT-
NESS FOR A PARTICULAR PURPOSE, OR OTHERWISE FOR SAID CON-
TRACTED SERVICES.
NEITHER PARTY SHALL BE LIABLE TO THE OTHER ANY INCIDENTAL, INDI-
RECT, SPECIAL, PUNITIVE OR CONSEQUENTIAL DAMAGES, INCLUDING,
BUT NOT LIMITED TO, SUCH DAMAGES ARISING FROM ANY TYPE OR MAN-
NER OF COMMERCIAL, BUSINESS, OR FINANCIAL LOSS, EVEN IF THE
OTHER PARTY HAD ACTUAL OR CONSTRUCTIVE KNOWLEDGE OF THE POS-
SIBILITY OF SUCH DAMAGES AND REGARDLESS OF WHETHER SUCH DAM-
AGES WERE FORESEEABLE.
C. The liability of either party for losses arising pursuant to or in connection with the terms,
covenants, or other obligations (whether express or implied) of the parties under this
AGREEMENT shall not exceed $35,000 in the aggregate or the limits of CONTRAC-
TOR'S professional liability coverage, whichever is greater (the "Cap").
d. The parties agree that the terms of this AGREEMENT result from negotiations between
them. This AGREEMENT will not be construed in favor of or against either party by rea-
son of authorship.
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Medicare Ground Ambulance Data Colleclion Services
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e. The captions and headings in this AGREEMENT are for convenience only and are not
intended to, and shall not be construed to, limit, enlarge, or affect the scope or intent of
this AGREEMENT, nor the meaning of any provisions hereof.
L Each parry represents that: (1) it has the authority to enter into this AGREEMENT; and
(2) that the individual signing this AGREEMENT on its behalf is authorized to do so.
g. Non -Boycott Verification. For purposes of Chapter 2270 of the Texas Government
Code, CONTRACTOR represents and warrants that, at the time of execution and delivery
of this AGREEMENT, neither CONTRACTOR, nor any wholly owned subsidiary, ma-
jority owned subsidiary, parent company, or affiliate of CONTRACTOR, boycotts Israel.
CONTRACTOR agrees that, except to the extent required by applicable federal law, nei-
ther CONTRACTOR, nor any wholly owned subsidiary, majority owned subsidiary, par-
ent company, or affiliate of CONTRACTOR will boycott Israel during the term of this
Agreement. The terin "boycotts Israel" and "boycott Israel" shall have the meaning as-
signed to the term "boycott Israel" in Section 808.001 of the Texas Government Code.
h. No Business with Foreign Terrorist Verification. For purposes of Subchapter F of
Chapter 2252 of the Texas Government Code, CONTRACTOR represents that, at the
time of the execution and delivery of this AGREEMENT, neither CONTRACTOR, nor
any wholly owned subsidiary, majority owned subsidiary, parent company, or affiliate of
CONTRACTOR (1) engage in business with Iran, Sudan, or any foreign terrorist organi-
zation as described under Sections 2270.0201 or 2252.153 of the Texas Government
Code. The term "foreign terrorist organization" shall have the meaning assigned to such
term in Section 2252.151 of the Texas Government Code.
i. Conflicts of Interest. Texas Local Government Code Chapter 176 (Chapter 176) requires
the disclosure of certain matters by contractors doing business with or proposing to do
business with local governmental entities such as PROVIDER. CONTRACTOR has re-
viewed Chapter 176 and, if it is required to do so, shall complete and return form CIQ
promulgated by the Texas Ethics Commission, which is available on the Commission's
website, within seven days of the date of submitting this Agreement to PROVIDER, or
within seven days of becoming aware of a matter that requires disclosure under Chapter
176, whichever is applicable.
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IN WITNESS WHEREOF, the parties have executed this AGREEMENT as of the Effective Date writ-
ten above.
PUBLIC CONSULTING GROUP LLC
BY:
NAME:
TITLE:
DATE:
CITY OF PARIS
BY:
NAME:
TITLE:
DATE:
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PUBLIC City of'Paris EMS
Medicare Ground Ambulance Dala Colleetion Services
ATTACHMENT A
CONTRACTED SERVICES
Ground Ambulance Data Collection System
A. PROVIDER provided at least one Medicare ground ambulance transport in the calendar year of
2017, is enrolled to receive Medicare payments, and received notification from CMS of its re-
quired participation in the Medicare Ground Ambulance Data Collection Survey (the "Survey").
PROVIDER must comply with both U.S. Department of Health and Human Services under the
Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information
Technology for Economic and Clinical Health (HITECH) Act and as such, CONTRACTOR shall
comply.
B. This Ground Ambulance Data Collection Survey requests individual providers to submit data to
CMS that relates to organizational characteristics, utilization, costs and revenue. The data may be
used by CMS to evaluate the adequacy of Medicare payment rates for ground ambulance services,
to inform future Medicare rate changes, and possible payment system reforms.
C. CONTRACTOR shall be familiar with the Medicare Ground Ambulance Data Collection Survey
and all the rules, regulations and requirements associated with the Survey.
D. CONTRACTOR shall have the knowledge, skills, and ability to fully complete the required data
survey to the Center of Medicaid and Medicare Services (CMS) within the time frame prescribed
by CMS.
E. CONTRACTOR shall have knowledge and experience in the completion of all 13 Sections of the
"Instrument" Survey.
F. PROVIDER will provide CONTRACTOR with all of the required data needed to complete the 13
Sections; however, CONTRACTOR is responsible for accurate completion of the 13 Section "In-
strument" Survey.
G. CONTRACTOR shall be able to accept data from PROVIDER in electronic submission form via a
secure connection in accordance with the Health Insurance Portability and Accountability Act
(HIPAA).
H. CONTRACTOR shall keep PROVIDER informed of all updates relating to the Survey.
CONTRACTOR will prepare and audit the completed Survey and its supporting documentation in
accordance with the Medicare principles of reimbursement that include but are not limited to 2
CFR 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for
Federal Awards, and other relevant documents which provide regulatory guidance on allowable
costs and provider charges.
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J. CONTRACTOR will submit the final report and supporting documentation, if allowable by proxy,
via the Centers for Medicare and Medicaid Services (CMS) web -based portal. A final copy of the
survey, work papers and methodologies for filing the Survey will be submitted to PROVIDER.
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ATTACHMENT B
COMPENSATION .: << , a � `,.
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CONTRACTOR shall be paid compensation for all Contracted Services performed as described in Attach-
ment A under a flat fee structure. Total compensation for this AGREEMENT shall be $35,000 (thirty-five
thousand dollars).
CONTRACTOR will invoice PROVIDER within thirty (30) days following the submission of the Medicare
Ground Ambulance Data Collection Survey. PROVIDER will remit payment to CONTRACTOR within
thirty (30) days of invoice receipt.
Upon the expiration or termination of this Agreement, for any reason, provisions concerning fees and com-
pensation will survive the expiration or termination of this Agreement.
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