HomeMy WebLinkAboutPublic Consulting Group - PSA 8.5.24CONSULTING GROUP
lall
PUBLIC
SoIuL1{ ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
MEDICARE GROUND AMBULANCE DATA COLLECTION SERVICES AGREEMENT
This Agreement ("Agreement") is entered into by and between the City of Waterloo ("PROVIDER") and
Public Consulting Group LLC ("PCG") as of July 22nd , 2024 ("Effective Date").
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, reve-
nues, utilization, and other data; and
WHEREAS, PCG 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 PCG 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 PCG hereby agree as follows:
1. Description of Services
PCG will provide the professional services assigned by PROVIDER and more fully described in
Attachment A (the "Contracted Services"). PCG acknowledges and agrees that time is of the es-
sence in the value of the Contracted Services and shall render such Contracted Services in a
prompt and diligent manner.
2. Term
PCG will commence performance for the Contracted Services under this Agreement on the Effec-
tive Date and will complete performance by June 30, 2026 (the "Term"). Unless otherwise speci-
fied by PROVIDER in writing, PCG will provide the Contracted Services for the full Term.
Upon the expiration or termination of this Agreement for any reason, all rights granted hereunder
shall immediately terminate except for those concerning compensation, confidentiality, intellec-
tual property, or any other provision that, by its terms, is intended to survive the expiration or ter-
mination of this Agreement. Specifically, notwithstanding the expiration or termination of the
Agreement, PROVIDER will compensate PCG as set forth herein with respect to any reimburse-
ments PROVIDER receives after the expiration or termination of this Agreement that are the re-
sult of the Contracted Services
3. Compensation
a. PROVIDER will compensate PCG pursuant to the provisions contained in Attachment B
and this Section 3, and will not pay PCG any other benefits, expenses, or compensation.
The compensation arrangement may be changed by written agreement of the parties.
b. PROVIDER will compensate PCG within thirty (30) days following the receipt of any
billing statement(s) from PCG that comport with the terms of this Agreement and Attach-
ment B. PCG shall submit billing statements directly to the PROVIDER Contact Person
identified in Section 5.
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CONSULTING GROUP
lall
PUBLIC
SoIuti ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
c. Upon termination or expiration of this Agreement, PCG will be entitled to receive com-
pensation for Contracted Services satisfactorily provided prior to the effective date of ter-
mination 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 ten (10) business days after receiving
written notice.
5. Notices and Contact Persons. Any notices, requests, consents and other communications here-
under shall be in writing and shall be effective upon any of the following: (1) when delivered
personally to the person designated below to receive notices for the party (the party's "Contact
Person"); (2) when e-mailed to the party's Contact Person at the e-mail address listed below with
an acknowledgment of receipt; or (3) five days after being deposited into the United States mail
(either certified mail with return receipt requested, or first class postage prepaid), addressed to the
party's Contact Person at the address set forth below. The individuals listed below shall serve as
each party's Contact Person for purposes of this Agreement unless the party replaces the Contact
Person by written notice to the other party as required by this Section:
For PCG:
Sarah DiCicco
Associate Manager
Public Consulting Group LLC
816 Congress Avenue, Suite 1110
Austin, TX 78701
sdicicco@pcgus.com
For City of Waterloo:
Jason Hernandez
Medical Supervisor
Waterloo Fire Rescue
425 E 3rd Street
Waterloo, Iowa 50703
Jason.Hernandez@waterloo-IA.org
6. Subcontracting
PCG may subcontract work under this Agreement to one or more of its affiliate companies.
7. Standards of Conduct
PCG 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.
8. Relationship of the Parties
a. The parties agree that PCG is an independent contractor, and that neither it nor any of its
employees is an employee of PROVIDER.
b. PCG shall secure and maintain all insurance, licenses, and/or permits necessary to per-
form the Contracted Services. PCG shall pay all applicable state and federal taxes includ-
ing unemployment insurance, social security taxes, and state and federal withholding
taxes. PCG understands that neither it nor its employees will be eligible for benefits or
privileges provided by PROVIDER to its employees. PROVIDER will deliver to PCG
statements of income at the end of each tax year consistent with its independent contrac-
tor status.
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CONSULTING GROUP
lall
PUBLIC
SoIuL1{ ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
c. Except as may be otherwise provided in this Agreement, PCG has complete and exclu-
sive authority over the means and methods of performing the Contracted Services, need
not adhere to policies and procedures applicable to PROVIDER employees, and may per-
form the Contracted Services according to its own schedule at its own offices or at any
other location. PCG shall hire its own employees, use its own tools and equipment, and
purchase its own supplies.
d. PCG 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 ex-
pressly authorized by PROVIDER.
9. Record Maintenance
With respect to all records of any kind that PCG acquires or creates for purposes of performing
the Contracted Services, PCG shall not knowingly destroy records that are required to be pre-
served 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 forego-
ing, this Agreement may be assigned by either party: (i) to one of its affiliates or subsidiaries; 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 party 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 proprietary and
confidential to the Disclosing Party.
a. "Proprietary or Confidential Information" is defined as information -- including but not
limited to trade secrets, strategies, financial information, sales information, pricing infor-
mation, operational techniques, software, and intellectual property -- that (i) has not been
previously published or otherwise disclosed by the Disclosing Party to the general public;
(ii) has not previously been available to the Receiving Party or others without confidentiality
restrictions; (iii) reasonably would be considered confidential and proprietary notwithstand-
ing the absence of any designation; or (iv) is not normally furnished to others without com-
pensation; and which the Disclosing Party wishes to protect against unrestricted disclo-
sure or competitive use. 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. The term "Proprietary or Confidential
Information" includes the original information provided by Disclosing Party as well as all
copies.
b. 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 re-
ceived, or thereafter developed independently by the Receiving Party; (ii) obtained by the
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CONSULTING GROUP
lall
PUBLIC
SoIuL1{ ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
Receiving Party from a source that is lawfully in possession of such information (other than
the Disclosing Party) through no breach of this Agreement or any other confidentiality obli-
gations; or (iii) in the public domain when received, or thereafter in the public domain
through no fault of the Receiving Party.
c. 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.
d. The Receiving Party shall use and disclose Proprietary or Confidential only for purposes
of the Contracted Services. The Receiving Party shall not divulge any such Proprietary or
Confidential Information to any employee who is not working on the Contracted Ser-
vices, without the prior written consent of the Disclosing Party.
e. The Receiving Party shall not disclose the Proprietary or Confidential Information to any
third party without prior written authorization from the Disclosing Party.
f. All Proprietary or Confidential Information shall remain the property of the Disclosing Party
notwithstanding any disclosure under this Agreement. The Receiving Party recognizes and
agrees that nothing contained in this Agreement nor the exchange of Proprietary or Confi-
dential Information under this Agreement shall be construed as transferring or granting any
right, title, interest, or license under any copyrights, inventions, or patents now or hereafter
owned or controlled by either Party. The Disclosing Party does not grant the Receiving
Party any express or implied right to or under the Disclosing Party or another party's patents,
copyrights, trademarks, trade secret information, or other proprietary rights. The Receiving
Party shall not make, have made, use, or sell for any purpose any product or other item us-
ing, incorporating, or derived from any Proprietary or Confidential Information of the Dis-
closing Party.
g•
If and to the extent that Proprietary or Confidential Information includes information that
is confidential or proprietary to a third party, the Disclosing Party warrants that the dis-
closure does not violate any agreement with the third party or any rights of the third
party, including any agreement or rights under the Health Insurance Portability and Ac-
countability Act ("HIPAA") and other federal or state laws governing medical records,
and shall indemnify the Receiving Party as to any claim against it by the third party or a
government agency relating to such disclosure.
h. Rights and obligations under this Agreement shall take precedence over specific legends or
statements that may be associated with Proprietary or Confidential Information when re-
ceived.
i. The Receiving Party shall immediately notify the Disclosing Party upon discovery of any
loss or unauthorized disclosure of its Confidential Information.
J.
The Receiving Party shall not export, directly or indirectly, any U.S. technical data ac-
quired pursuant to this Agreement, or any products utilizing such data, in violation of the
United States export laws or regulations.
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CONSULTING GROUP
lall
PUBLIC
SoIuLi{ ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
k. If the Receiving Party is requested or required to disclose Proprietary or Confidential In-
formation pursuant to a subpoena or an order of a court or governmental agency having
jurisdiction, the Receiving Party shall, prior to any disclosure of Proprietary or Confiden-
tial Information:
J.
i. Provide the Disclosing Party with prompt written notice of the existence, terms,
and circumstances surrounding the legal or governmental request or requirement,
no later than 2 business days after receiving it;
ii. Consult with the Disclosing Party on the appropriate response to the request;
iii. Cooperate with the Disclosing Party in its reasonable efforts to obtain an order
or otherwise limit or restrict the disclosure of its Proprietary or Confidential Infor-
mation that is subject to the legal or governmental request or requirement, at Dis-
closing Party's sole expense; and
iv. Only after fully complying with the above steps, if disclosure of Proprietary or
Confidential Information is still required, furnish only such portion of the Proprie-
tary or Confidential Information as the Receiving Party is advised by counsel is le-
gally required to be disclosed.
Upon termination or expiration of this Agreement, each party shall cease use of Proprie-
tary or Confidential Information received from the other party. At the written request of
the Disclosing Party at any time during this Agreement, or within 30 days of the termina-
tion or expiration of this Agreement, the Receiving Party shall promptly return all copies
of such information in its possession, custody, or control, promptly furnishing the Dis-
closing Party with written certification of such return. If the Disclosing Party does not
request the return of Proprietary or Confidential Data within 30 days of the termination or
expiration of this Agreement, the Receiving Party shall destroy all copies of such infor-
mation in its possession, custody or control and shall, upon the Disclosing Party's re-
quest, furnish the Disclosing Party with written certification of such destruction. If return
or destruction is not practicable, the Receiving Party shall so notify the Disclosing Party
and shall keep such information secure and confidential in perpetuity.
k. The termination or expiration of this Agreement for any reason shall not discharge the
obligations of the Parties with respect to the protection of Proprietary or Confidential In-
formation set forth in this section.
1. Other than as set forth above, neither party makes any representation or warranty as to the
accuracy or completeness of its Proprietary or Confidential Information disclosed under this
Agreement.
m. This Agreement and its terms shall be treated as Proprietary and Confidential Infor-
mation.
12. As -Is Information and Data
The parties agree and acknowledge that PCG will receive all information and data from PRO-
VIDER on an as -is basis. PCG is not responsible for errors or omissions in any data that it re-
ceives from PROVIDER, nor for any inaccuracies or mistakes in the survey that result from er-
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CONSULTING GROUP
lall
PUBLIC
Sojuth ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
rors or omissions in information received from PROVIDER. PCG is not responsible for review-
ing, evaluating, or verifying the accuracy or completeness of any information received by PRO-
VIDER. PCG is not liable for any reimbursement, refund, or contribution should PROVIDER be
subject to penalties in connection with the Contracted Services.
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 specifi-
cally assigned or transferred in a written contract. PCG guarantees that its use or creation of any
intellectual property under this Agreement does not infringe upon the intellectual property rights
of any third party.
14. Conflicts of Interest
The parties understand that PCG is not required to perform the Contracted Services on a full-time
basis for PROVIDER and may perform services for other individuals and organizations 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 parties
with respect to the subject matter of the Contracted Services, and supersedes all prior agreements
and understandings, both written and oral. Notwithstanding the foregoing, any separate written
agreement between the parties regarding the confidentiality and security of information ex-
changed 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 authorized
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
This Agreement, and all other aspects of the business relationship between the parties, shall be
construed, interpreted, and enforced under and in accordance with the laws of the Commonwealth
of Massachusetts, without regard to choice of law provisions. The parties also consent to the per-
sonal jurisdiction in its courts, agree that the state and federal courts of the Commonwealth of
Massachusetts shall have exclusive jurisdiction over the enforcement of this Agreement, and
waive any objection to venue.
20. Miscellaneous
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CONSULTING GROUP
lall
PUBLIC
SoIuti{ ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
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.
b. 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. OTHER THAN A CLAIM BY PCG THAT CLI-
ENT HAS NOT PAID COMPENSATION UNDER SECTION 3, UNDER NO
CIRCUMSTANCES SHALL EITHER PARTY'S AGGREGATE LIABILITY
TO THE OTHER PARTY UNDER THIS AGREEMENT EXCEED $35,000 IN
THE AGGREGATE.
c. Neither party shall be responsible for delays or failures in performance resulting from
acts of God, acts of civil or military authority, terrorism, fire, flood, strikes, war, epidem-
ics, pandemics, shortage of power, or other acts or causes reasonably beyond the control
of that party. The party experiencing the force majeure event agrees to give the other
party notice promptly following the occurrence of a force majeure event, and to use dili-
gent efforts to re -commence performance as promptly as commercially practicable.
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 reason of au-
thorship.
e. The captions and headings in this Agreement are for convenience only and are not in-
tended 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.
f. Each individual signing below on behalf of a party hereby represents and warrants that
they have full power and authority to enter into this Agreement on behalf of such party.
Each party to this Agreement hereby represents and warrants that it has full power and
authority to enter into this Agreement, that the execution, delivery, and performance of
this Agreement has been fully authorized and approved, and that no further approvals or
consents are required to bind such party.
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CONSULTING GROUP
lall
PUBLIC
SoIuL1{ ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
IN WITNESS WHEREOF, the parties have executed this Agreement as of the Effective Date written
above.
PUBLIC CONSULTING GROUP LLC CITY OF WATERLOO
BY: BY: 62U2fC/ 9-Car
NAME: NAME: Quentin Hart
TITLE: TITLE: Mayor
DATE: DATE: 8/5/2024
DIGITALLY
SIGNED
.di
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CONSULTING GROUP
lall
PUBLIC
SoIuL1{ ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
ATTACHMENT A
CONTRACTED SERVICES
A. PROVIDER provided at least one Medicare ground ambulance transport in the calendar year of
2023, 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, PCG shall comply.
B. This 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 ade-
quacy of Medicare payment rates for ground ambulance services, to inform future Medicare rate
changes, and possible payment system reforms.
C. PCG shall be familiar with the Medicare Ground Ambulance Data Collection Survey and all the
rules, regulations and requirements associated with the Survey.
D. PCG 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. PCG shall have knowledge and experience in the completion of all 13 Sections of the "Instru-
ment" Survey.
F. PCG shall keep PROVIDER informed of all updates relating to the Survey.
G. PCG will prepare and audit the completed Survey and its supporting documentation in accord-
ance 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.
H. PCG will submit the final report and supporting documentation, if allowable by proxy, via the
Centers for Medicare and Medicaid Services (CMS) web -based portal; if not allowable, PRO-
VIDER will submit the final report and supporting documentation. A final copy of the survey,
work papers and methodologies for filing the Survey will be submitted to PROVIDER.
The Contracted services that PCG will provide for the Survey will apply to one (1) National Pro-
vider Identifier (NPI) for one (1) 12-month reporting period, defined as July I st, 2023 to June
30th, 2024, followed by a 5-month data collection/submission period commencing on July 1st,
2024.
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CONSULTING GROUP
lall
PUBLIC
SoIuLi{ ns that Mutter
City of Waterloo
Medicare Ground Ambulance Data Collection Services
ATTACHMENT B
COMPENSATION
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 $20,000 (twenty
thousand dollars).
Fee Structure for Iowa EMS Association Members:
PCG Premium Service Level (Tier III) $35,000
IEMSA Discount (20%) $7,000
Additional discount $8,000
Total IEMSA Member Fee $20,000
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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