Ambulance Billing and Collection Services

The Vendor is required to provide comprehensive ambulance billing and collection services for all of its advanced life support (ALS & ALS 2) runs, basic life support (BLS) runs, specialty care runs and treatment without transport operations, including mileage & supplies used in the operation of services.
- Responsible for:
•    Preparing and submitting claims to Medicare, Medicaid, private insurers, and self-pay patients.
•    Managing all collections and payment processing.
•    Providing detailed monthly financial reports and deposit summaries.
•    Assisting with patient inquiries and offering support for financial hardship cases.
•    Maintaining full compliance with HIPAA and other applicable laws.
- City will provide the contractor with Electronic Patient Care Reports (EPCRs) for each transport, including patient and incident details.
- Fire Department personnel will attempt to obtain the patient’s signature. If unsuccessful, the contractor must make reasonable efforts to obtain the signature post-transport.
- All transport and revenue data must be tracked and reported based on the City’s fiscal year (July 1 – June 30).
- must designate an authorized representative to manage day-to-day communications with the City.
- must verify insurance eligibility using commercial databases and other accepted tools prior to submitting claims.
- Detailed report of all collections received, accompanied by corresponding deposit slips showing amounts deposited to the City’s designated municipal bank account.
- Monthly reports shall include a comparison of receipts to the same period in the prior fiscal year.
- Monthly listings of commitments, write-offs, adjustment credits, and any additional reports necessary to reconcile the account balances from month to month.