Billing and Collection Services

The Vendor is required to provide billing and collection for ambulance transportation and fire inspection fees services.
- Deliver accurate, timely, and compliant billing and collection services that maximize revenue recovery while maintaining high standards of customer service and regulatory compliance.
- Outcome objectives:
1. Maintain a minimum annual net collection rate by payer type, as listed below, on accounts for area 17 and the district.
• Medicare: 80%
• Medicare advantage: 70%
• Medicaid: 90%
• Managed Medicaid: 90%
• Commercial insurance: 40%
• Government: 80%
2. Process objectives:
• Process 100% of billings submitted to the contractor by area 17 and district ambulance service providers and fire inspection services for county fire.
- Retrieval of ambulance services information for billing
• Ambulance services information for retrieval includes, but is not limited to, demographic information, insurance, and miles of transport for the patient.
• Develop and maintain procedures for electronic retrieval of information regarding ambulance services submitted by area 17 and district ambulance providers.
• Provide this information to the county upon request.
• Begin retrieval of ambulance services information for ambulance services provided on the effective date of this contract.
• Track and submit the total number of emergency medical transports by payer type, including Medical fee for service (FFS) and Medical managed care ground emergency medical transports, and all other payer types, quarterly and annually.