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County approves MOU with Heritage Health Solutions to reprice inmate medical claims under vendor terms
Summary
The county approved the mayor's signature on an MOU authorizing Heritage Health Solutions to reprice and administratively manage off-site inmate medical claims; the MOU describes billing at 205% of Medicare allowables, a $20 processing fee per claim and monthly invoicing.
Cheatham County commissioners on Dec. 16 approved an agreement allowing Heritage Health Solutions to provide administrative repricing and claims-management services for inmate medical care that occurs off-site.
The Memorandum of Understanding, presented by County Mayor Kerry McCarver and approved by roll-call vote, designates Heritage as the county’s third-party administrator for off-site outpatient, emergency department and inpatient claims that the county is financially responsible for. According to the terms attached to the MOU, Heritage will negotiate provider participation in its network, process off-site claims and invoice the county…
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