Number
040747
Version
SUBSTITUTE 1
Reference
Sponsor
ALD. DONOVAN
Title
Substitute resolution reserving a $95,000 appropriation in the Common Council Contingent Fund for transfer to the City Attorney Damages and Claims Fund to pay Medicare and various other healthcare plan providers for reimbursements erroneously paid to the City.
Analysis
This resolution:
1. Reserves a $95,000 appropriation in the Common Council Contingent Fund for transfer to the Damages and Claims Fund to pay Medicare and various other healthcare plan providers for reimbursements erroneously paid to the City.
2. Directs the Comptroller to review the Milwaukee Fire Department's financial records for erroneous reimbursements to verify the total amounts that were improperly paid to the City of Milwaukee and are now claimed by Medicare and various other healthcare provider plans, including United Healthcare.
3. Directs the Comptroller to issue a check to Medicare and the various other healthcare plan providers in the amount the City received in error.
Body
Whereas, United Healthcare is a health care provider, and the Milwaukee Fire Department (MFD) provided emergency medical services (EMS) to individuals who participate in United Healthcare's health plans, as well as various other healthcare plans; and
Whereas, MFD is eligible for reimbursement from United Healthcare and various other healthcare plan providers for the emergency medical services the department provided; and
Whereas, MFD issued its claims for reimbursement, but United Healthcare and various other healthcare plan providers did not issue reimbursement on a timely basis, which resulted in the department making duplicate claims; and
Whereas, United Healthcare and various other healthcare plan providers overpaid the City by reimbursing the City on the duplicate and the original claims; and
Whereas, These healthcare plan providers estimate they overpaid the City approximately $32,000; and
Whe...
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