To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #23-560-12 with Mainsail Parent, LLC (dba Aspirion Health Resources LLC)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #23-560-12 with Mainsail Parent, LLC (dba Aspirion Health Resources LLC), a limited liability company, formerly known as Firm Revenue Cycle Management Services, Inc., in an amount not to exceed $500,000 to provide accounts receivable solutions with processing out-of-state Medicaid billing and provide commercial insurance claim denial resolution for the Health Services Department, for the period from February 1, 2025 through January 31, 2026.
FISCAL IMPACT:
This Contract will result in annual expenditures of up to $500,000 and will be funded 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
This Contract meets the business needs of the County by providing accounts receivable solutions for out-of-state Medicaid billing and follow up with commercial insurance denials using the latest billing and editing technology available resulting in faster claim submission and increased payments. This Contractor has been providing services to the Health Services Department since October 1, 2014. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. The Office of the Director’s contract monitoring staff meet on a regular basis to ensure monitoring of performance measures set forth in the contract are upheld. This Contractor was approved by the Public Works Department’s Purchasing Division on October 30, 2024.
On February 6, 2024, the Board of Supervisors approved Contract #23-560-11 with Firm Revenue Cycle Management Services, Inc., in an amount not to exceed $400,000 to provide billing services to process out-of-state Medicaid claims, for the period February 1, 2024 through January 31, 2025.
This Contractor originally provided billing services under the name of Firm Revenue Cycle Management Services, Inc., and on November 18, 2024 changed the company name to Mainsail Parent, LLC which was required to register with the California Secretary of State.
Approval of Contract #23-560-12 will allow the Contractor to continue to provide services through January 31, 2026. This Contract was delayed due to Contractor’s company name change. Division waited for Contractor to provide the required updated legal documents evidencing Contractor’s active business registration in California under the new name.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved the County will not have access to these services which may decrease collections/revenue and increase time for claim submissions.