c. Contract approval - Laserfiche WebLink

Exhibit [ Components and Fees for CCSD Inmate Medical Services, Employment Physicals, Clinical Training, Medical Consultation and On-Call Coverage This Exhibit shall have an initial term coinciding with the Initial Term as defined by Article I, paragraph 1.1 of the Agreement. This Exhibit may be amended according to Article Viol' the Agreement. Inmate Medical Services Professional medical services provided by FHC profcssional staff to CCSD clients will be billed at a rate of $3,855.00 / month, subject to adjustment on July I of each year. This fee accounts for professional medical services not to exceed 400 inmate encounters per year. Should volumes significantly increase. FHC would request the opportunity to discuss adjustment if the volumes impact the resources required to deliver the service. The fee includes administrative responsibilities. on-call services (24 hour on-call availability) and clinical review processes as stated in Article I of the Agreement. EmDlovment Phvsical (99499.0 I) Fee = $50.00 / Physical 1. Record patient's vitals 2, Record a problem focused history 3, Conduct an expanded problem focused examination 4, Review the patient's pertinent past medical, family and social history 5, Conduct a review of systems with particular focus on cardiovascular and pulmonary health 6. Examine and question the patient to detect communicable diseases Diagnostic procedures will be billed separately from professional services and in accordance with the FHC and Reference lab fee schedule. Clinical Traininl!. Planninl!. Case Meetinl!s and Chart Review For services rendered outside the scope of this agreement: I. The cost for special clinical training, CCSD planning, case meetings or chart review requests provided by non-physician staff is $35/hour. 2. The cost for special clinical training, CCSD planning, case meetings or chart review requests provided by physician staff is $85/hour. Page 7 uf7