medical billing options heard
Beth Rumsey, Staff Writer
We want to help counties to save money on
inmate medical expenses, D.J. Kreal, Correctional Risk Services,
told the commissioners at their regular meeting on Monday, February
23. According to Kreal, the Nashville, Tennessee, based company
provides the county with administrative support such as verifying
the services charged by the medical provider and keeping backup
copies of the bills in case of an audit.
Kreal explained that the medical provider sends CRS the bill,
which is then screened visually and by a specialized computer
program, and then adjusted with a pre-negotiated discount with
the medical providers. CRS then produces an invoice which will
show errors, adjustments, and with the original bills attached
to the invoice. According to Kreal, the county will send one check
to CRS, who will in turn pay the medical providers.
CRS does not charge a premium for this service. Instead, the county
would pay 30% of the savings. Its a win-win situation,
said Kreal. CRS also offers an inmate excess medical insurance,
up to $250,000 with the fees based on the average number of daily
inmates. The commissioners will continue to discuss the information
provided with the sheriffs department and make a decision
at a later date.
Charles Malinowski, Malinowski Consulting, presented the commissioners
with the 2008 Cost Allocation Results. The report showed expenditures
from the various county offices, and the state allowed reimbursement
amount from the indirect costs such as salaries, wages, and expenses.
According to Malinowski, the amount is from services provided
under Title IV-D, such as child support. The commissioners thanked
Malinowski for his work. Youve done a tremendous job
for us, said Commissioner Robert Reiners.
Courthouse maintenance Johnnie Lohrum reported that he has received
permission from the Town of Versailles to make repairs to the
courthouse clock. The town will pay for the materials used in
Ripley County Veterans Services Officer Ken Hilton requested the
use of an area for the set up of a mobile van. On October 9 disabled
veterans will have the opportunity to seek eligibility for benefits.
The commissioners unanimously approved the recommendation from
Technology Director Kelly Vollet to replace the auto excise tax
program. The request from the Ripley County Republican party to
use the courthouse hallway for an organizational meeting on March
7 was unanimously approved.
In other business:
The Ripley County Assessor Shawna Bushhorn and the commissioners
opened bids for the 2011 property reassessment. The motion to
take the bids under advisement was unanimously approved.
Bids for two tractors and a mower for use by the Ripley
County Highway Garage were opened. The commissioners unanimously
decided to take the bids under advisement for further review.
Ken Griffin and Susan Groves, Indiana Department of Health
Public Health Preparedness and Emergency Response, introduced
themselves to the commissioners. Griffin and Groves will work
as a go-between for the county health department and the state
All commissioners were in attendance along with county auditor
Mary Ann McCoy and county attorney Neil Comer. The next meeting
will be held on Monday, March 9 beginning at 7 a.m. at the county
highway garage in Osgood and reconvening at the courthouse annex
at 8 a.m.