Approve retroactive Sixth Amendment to Agreement with Savista, LLC, relating to providing third party defense auditor services, increasing the maximum contract amount by $315,187 from $945,088 to $1,260,275, and extending the agreement for an 11-month period through December 31, 2026, that has been reviewed and approved by County Counsel as to form and legality. An exception to Board of Supervisors Policy 5.4.5.4, Length of Term of Contracts, has been approved by the Office of Countywide Contracting Management. (LA)
The document outlines a recommended action for the Board of Supervisors to approve a retroactive Sixth Amendment to an agreement with Savista, LLC for third-party defense auditor services. This amendment increases the maximum contract amount and extends the agreement through December 31, 2026. The document details the contract history, reasons for the recommendation, and implications of the action.
Key points
The Sixth Amendment increases the maximum contract amount by $315,187, from $945,088 to $1,260,275.
The agreement is extended for an 11-month period through December 31, 2026.
Savista, LLC has provided essential services since 2017, significantly reducing financial disallowances.
The amendment is submitted retroactively due to delays in the solicitation and negotiation process.
Approval of the amendment will maintain continuity of services and protect SCVH from financial exposure.
Limitations
The document does not specify the exact date of the original agreement or the specific dates of the amendments.
There are unresolved placeholders in the attachment section.
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Extracted text preview · 6,421 chars
County of Santa Clara Santa Clara Valley Health & Hospital System 129079 DATE: June 2, 2026 TO: Board of Supervisors FROM: Paul E. Lorenz, Chief Executive Officer, SCVH SUBJECT: Sixth Amendment to Agreement with Savista, LLC RECOMMENDED ACTION Approve retroactive Sixth Amendment to Agreement with Savista, LLC, relating to providing third party defense auditor services, increasing the maximum contract amount by $315,187 from $945,088 to $1,260,275, and extending the agreement for an 11-month period through December 31, 2026, that has been reviewed and approved by County Counsel as to form and legality. An exception to Board of Supervisors Policy 5.4.5.4, Length of Term of Contracts, has been approved by the Office of Countywide Contracting Management. (LA) FISCAL IMPLICATIONS Approval of the recommended action will not require modification to the Fiscal Year (FY) 2025-2026 Budget for Santa Clara Valley Healthcare (SCVH). Funding for this agreement is included in the SCVH Services and Supplies budget. CONTRACT HISTORY On July 8, 2016, the Contract Solutions Department released RFP-HHS-FY16-0217 for Third Party Defense Auditor Services. Following evaluation and consensus scoring,...
The Sixth Amendment to the Agreement between the County of Santa Clara and Savista, LLC extends the term of the Agreement to December 31, 2026, increases the maximum contract amount by $315,187 to a total of $1,260,275.25, updates provisions, and revises an exhibit. Key changes include the deletion of COVID-19 requirements, revisions to compensation terms, and the addition of accessibility requirements for web content and mobile applications. The scope of services for clinical appeal writing support is also detailed, along with a payment schedule.
Key points
The Agreement is extended through December 31, 2026.
The maximum contract amount is increased from $945,088.25 to $1,260,275.25.
Section on COVID-19 requirements is deleted.
Revisions made to the Levine Act Compliance section.
New section added for accessibility of web content and mobile applications.
Scope of services includes clinical appeal writing support and education for physicians.
Payment schedule details monthly invoicing and hourly billing rates.
Limitations
The text includes placeholders and unfilled sections that affect the summary.
Specific dates and signatures are mentioned but not summarized as they do not affect the overall content.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 8,840 chars
Docusign Envelope ID: E17E0D81-8B12-4233-BBE0-148BB2EBDF7F 215B08BC-184B-41F5-A7B3-5271E1CB24D1 SIXTH AMENDMENT TO AGREEMENT BETWEEN THE COUNTY OF SANTA CLARA AND SAVISTA, LLC The Agreement entered into effective February 7, 2017 by and between the County of Santa Clara, a political subdivision of the State of California, d/b/a Santa Clara Valley Health and Hospital System and Santa Clara Valley Healthcare (“County”) and Savista, LLC (“Contractor” or “Vendor”), for Third Party Defense Auditor Services is hereby amended as set forth below, effective February 7, 2026 (“Sixth Amendment”). Background The purpose of this Sixth Amendment is to extend the term, increase the maximum contract amount by $315,187 from $945,088.25 to $1,260,275.25, update provisions, and revise an exhibit. The Agreement is amended as follows: 1. Section 1. Term, first paragraph, is revised to read as follows: “This Agreement is extended through December 31, 2026, unless otherwise terminated earlier in accordance with the Agreement.” 2. Section 2. Compensation and Payment, Subsection C., is revised to read as follows: “C. The County does not guarantee any minimum compensation payable under this Agreement....
This document is the Fifth Amendment to the Agreement between the County of Santa Clara and Savista, LLC, effective February 7, 2023. It extends the term of the Agreement to February 6, 2026, adds funding, updates provisions, and revises exhibits. Key amendments include revisions to the term, compensation, COVID-19 requirements, conflict of interest compliance, and data security obligations. Specific financial obligations for various scopes of services are outlined, along with compliance requirements related to the Levine Act and exclusion screening of personnel.
Key points
The term of the Agreement is extended through February 6, 2026.
The maximum financial obligation for the Agreement is set at $194,088.25 for the period of February 7, 2023 through February 6, 2026.
Specific financial obligations for various services include $47,886.25 for Surgical CDM Restructuring, $65,106.00 for CDM Compliance Review and Audit, $15,000.00 for Custom Benchmarking, and $66,096.00 for Clinical Appeal Writing Services.
Contractor must comply with COVID-19 requirements as per County directives.
New sections added include requirements for conflict of interest compliance, data security, and exclusion screening of personnel.
Limitations
The text appears to be truncated, missing some details regarding the ISO Security and Compliance Language and other sections.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 58,711 chars
Docusign Envelope ID: A5E5C107-B0C8-4226-A979-4474E05706F4 398CBCB1-EA27-45F7-B702-1213102A9A31 A555A234-92F3-4770-87B8-D8E313B1BFDD FIFTH AMENDMENT TO AGREEMENT BETWEEN THE COUNTY OF SANTA CLARA AND SAVISTA, LLC The Agreement entered into effective February 7, 2017 by and between the County of Santa Clara, a political subdivision of the State of California, d/b/a Santa Clara Valley Health and Hospital System and Santa Clara Valley Healthcare (“County”) and Savista, LLC (“Contractor” or “Vendor”), for Third Party Defense Auditor Services is hereby amended as set forth below, effective February 7, 2023 (“Fifth Amendment”). Background The purpose of this Fifth Amendment is to extend the term, add additional funding, update provisions, and revise exhibits. The Agreement is amended as follows: 1. Section 1. Term, first paragraph, is revised to read as follows: This Agreement is extended through February 6, 2026, unless otherwise terminated earlier in accordance with Section 4. 2. Section 2. Compensation and Payment, Subsection C., is revised to read as follows: The County does not guarantee any minimum compensation payable under this Agreement. The maximum financial obligation for...
The source text indicates this attachment appears to be a draft document.
The document appears to be a draft related to Amend 4 for Savista, LLC, associated with matter file SCC-129079. It contains various sections with incomplete or garbled text, making it difficult to extract coherent information.
Limitations
The text is heavily garbled and lacks coherent information.
There are unresolved placeholders and incomplete sections throughout the document.
Specific details such as dates, votes, or financial figures are not present.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
This document is a Third Amendment to an agreement between the County of Santa Clara and nThrive Reimbursement Management, LLC, effective September 1, 2020. It amends the original agreement from February 7, 2017, to include additional funding and services related to O’Connor Hospital and Saint Louise Regional Hospital. The amendment outlines revisions to the term, compensation, and payment sections, and adds new exhibits detailing the scope of services for supply linking analysis, CDM compliance review, and comparative rate modeling. The maximum financial obligations for the services are specified, and the amendment states that all other terms of the original agreement remain in effect unless contradicted by this amendment.
Key points
The amendment is effective September 1, 2020.
It adds funding and services related to O’Connor Hospital and Saint Louise Regional Hospital.
Revisions include changes to the term and compensation sections.
Maximum financial obligations are specified for the period of the agreement.
New exhibits detail the scope of services for supply linking analysis, CDM compliance review, and comparative rate modeling.
Limitations
The text does not provide specific dates for all actions or approvals.
Some sections of the text are truncated, leading to incomplete information on the scope of services.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 46,730 chars
DocuSign Envelope ID: 80029688-A92B-49BC-BBA3-8920E25C0733 7524D17C-D070-4DF8-8387-4E92A760ED50 THIRD AMENDMENT TO AGREEMENT BETWEEN THE COUNTY OF SANTA CLARA AND NTHRIVE REIMBURSEMENT MANAGEMENT, LLC The Agreement entered into effective February 7, 2017 by and between the County of Santa Clara, a political subdivision of the State of California, d/b/a Santa Clara Valley Health and Hospital System (“County”) and nThrive Reimbursement Management, LLC (“Contractor”), for Third Party Defense Auditor Services is hereby amended as set forth below, effective September 1, 2020 (“Third Amendment”). Background The purpose of this Third Amendment is to add additional funding and add Exhibits relating to the acquisition of O’Connor Hospital (“OCH”) and Saint Louise Regional Hospital (“SLRH”). The Agreement is amended as follows: 1. Section 1. Term is revised to add a second paragraph as follows: In addition to the services outlined in the Agreement, Contractor shall assist the County, in a manner satisfactory to the County, with third party defense auditing services relating to O’Connor Hospital (“OCH”) and St. Louise Regional Hospital (“SLRH”) pursuant to the terms and conditions stated...
This document is the Second Amendment to the Agreement between the County of Santa Clara and nThrive Reimbursement Management, LLC, effective February 15, 2018. The amendment reallocates funding and revises compensation terms for Third Party Defense Auditor Services. The maximum financial obligations for the agreement periods are specified, with amounts for different time frames outlined. All other terms of the original agreement remain in effect unless contradicted by this amendment.
Key points
The Second Amendment is effective February 15, 2018.
It reallocates funding for Third Party Defense Auditor Services.
The maximum financial obligation for the period February 7, 2017 to February 6, 2018 is $86,250.00.
The maximum financial obligation for the period February 7, 2018 to February 6, 2019 is $73,750.00.
The maximum annual financial obligation for the subsequent three terms ending February 6, 2022 is $80,000.00.
All other terms of the original agreement remain in effect.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 4,123 chars
DocuSign Envelope ID: 12EB1939-F0D4-4C93-B51D-BEA74FBE1C85 4FB83CDA-9ED0-4F86-97BF-2430ABC098DA SECOND AMENDMENT TO AGREEMENT BETWEEN THE COUNTY OF SANTA CLARA AND NTHRIVE REIMBURSEMENT MANAGEMENT, LLC The Agreement entered into effective February 7, 2017 by and between the County of Santa Clara, a political subdivision of the State of California, d/b/a Santa Clara Valley Health and Hospital System (“County”) and nThrive Reimbursement Management, LLC (“Contractor”), for Third Party Defense Auditor Services is hereby amended as set forth below, effective February 15, 2018 (“Second Amendment”). Background The purpose of this Second Amendment is to reallocate funding. 1. Section 2. Compensation and Payment, Subsection C. is revised and restated as follows: The County does not guarantee any minimum compensation payable under this Agreement. The maximum financial obligation for all work performed under this Agreement shall not exceed $86,250.00 for the period of February 7, 2017 through February 6, 2018. The maximum financial obligation for all work performed under this Agreement shall not exceed $73,750.00 for the period of February 7, 2018 through February 6, 2019. The maximum...
This document is the First Amendment to the Agreement between the County of Santa Clara and nThrive Reimbursement Management, LLC, which was formerly known as Advanced Reimbursement Management, LLC. The amendment acknowledges the name change of the Contractor and updates the notice section with the new contact information. All other terms of the original Agreement remain unchanged.
Key points
The Agreement was originally effective February 7, 2017.
The Contractor's name changed from Advanced Reimbursement Management, LLC to nThrive Reimbursement Management, LLC effective July 21, 2017.
The notice section was revised to include new contact information for both parties.
All other terms and conditions of the original Agreement remain in effect.
Limitations
The document does not specify the exact nature of the services provided under the Agreement.
There are unresolved placeholders in the document regarding the execution dates.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 3,763 chars
DocuSign Envelope ID: 58C2191E-546E-43F5-84E5-5D28C6BE3636 First Amendment to the Agreement Between the County of Santa Clara and nThrive Reimbursement Management, LLC (formerly Advanced Reimbursement Management, LLC) The Agreement (“Agreement”) entered into effective February 7, 2017 by and between the County of Santa Clara, a political subdivision of the State of California (“County”), and Advanced Reimbursement Management, LLC (“Contractor”), to provide Third Party Defense Auditor Services to Santa Clara Valley Medical Center (“SCVMC”) is hereby amended as set forth below, effective July 21, 2017 (“First Amendment”). Background The purpose of this First Amendment is to acknowledge the change in name of the entity of the Contractor. The Agreement is amended as follows: 1) Contractor has changed its name from Advanced Reimbursement Management, LLC to nThrive Reimbursement Management, LLC. As of July 21, 2017 all references to Advanced Reimbursement Management, LLC shall be replaced with nThrive Reimbursement Management, LLC. 2) Section 9. NOTICE is revised to read: All notices required by this Agreement shall be deemed given when in writing and delivered personally or five days...
This document is an approval request for extending a contract with Savista, LLC for third party defense auditor services beyond the typical five-year term. The current contract, which started on February 7, 2017, is set to end on February 6, 2026. The request includes a proposed extension of 11 months, leading to a new end date of December 31, 2026, with an additional contract value of $315,187, bringing the total contract value to $1,260,275.25. The document outlines the necessity of these services for the revenue cycle operation of Santa Clara Valley Healthcare, detailing the financial benefits and the impact of commercial insurance audits. It also includes a history of previous approvals for extending the contract beyond five years.
Key points
Approval request for extending contract with Savista, LLC beyond five years.
Current contract started on February 7, 2017, and ends on February 6, 2026.
Proposed extension of 11 months to December 31, 2026.
Total additional contract value proposed is $315,187.
Total contract value after extension would be $1,260,275.25.
Services provided include third party defense auditor services.
Document includes a history of previous approvals for contract extensions.
Limitations
Some sections of the document contain unresolved placeholders or missing information.
Specific dates and financial details are not provided in some sections.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 85,768 chars
Jennifer Sun Docusign Envelope ID: EB6B0881-AFBD-4421-B735-1C2B3638BBAF APPROVAL REQUEST FOR A BEYOND 5 YEAR CONTRACT TERM Date of Submission: 4/15/2026 User Agency/Department(s): Health and Hospital System Budget Unit #: 921 SECTION I REQUEST TO SOURCE A NEW CONTRACT BEYOND FIVE YEARS IN TERM Complete this section only if sourcing a new contract that will exceed a five-year term and proceed to Section IV. If you are extending an existing contract, please continue to Section II. Total Length of Term: Anticipated Contract Start Date: (In months, excluding extension options) Anticipated Contract End Date: Comments: Budgeted Amount of Project: $ Proposed Contractor Name: Description of Goods or Services: X SECTION II REQUEST TO EXTEND EXISTING CONTRACT BEYOND FIVE YEARS IN TERM Complete Sections II and III only if extending an existing contract beyond a five-year term. Contract/PO Number: 4300021992 Contractor Name: Savista, LLC (fka nThrive Reimbursement Management, LLC, fka Advanced Reimbursement Current Contract Start Date: 02/07/2017 Current Contract End Date: 02/06/2026 Total Current Value of Agreement: $ 945,088.25 Description of Goods or Services: Third Party Defense Auditor...