Comprehensive Billing, Reimbursement, Collection and Administrative Services

The Vendor is required to provide comprehensive EMS administrative services including EMS clinical, operational, consulting, and billing services.
- Provide the following services:
•    EMS billing, collections and reimbursement reporting services
•    EMS billing and collection consulting
•    EMS patient satisfaction data collection and reporting
•    EMS quality assurance and quality improvement review partnership
•    Cardiac Arrest data collection, database management and reporting
•    Hosted Electronic Patient Care Reporting (ePCR) including data hosting, storage transfer to hospitals including sufficient hardware for regular operations
•    Provide a data surveillance system that automatically detects specifically designated parameters for a range of public health concerns for emergency services when used in conjunction with proposers ePCR system.
- Billing, Collection and Reporting
•    Receive patient care reports, face sheets, demographic information, and proper patient signatures from the town department and process information on individual parties, insurance companies, Medicare and Medicaid.
•    Verify demographic information prior to billing using available resources including subscription services, hospital verification or information obtained through “face sheet” demographics obtained by the town
•    Provide follow up billing to include using database searches with subscription services, hospital follow up or phone calls to locate patient information including insurance eligibility in a timely manner.
•    Prepare monthly reports of all account activity presented in a uniform and easily understood format so that financial, billing and collection data can be benchmarked and financial goals can be reviewed.
- EMS Billing and Collection Consulting
•    Provide quantitative analysis of current billing functions using industry accepted metrics for periodically measuring, analyzing and controlling the billing and collection functions. The consultancy shall fully explain any recommended changes to improve revenues, operations or systematic review methods, including reporting and review schedules. 
•    Consultancy shall be targeted to system changes and policies that are attainable, measureable, and longstanding. It will be expected that recommendations to improve financial strength shall be frontloaded during the initial contract cycle but additional changes for maintenance or to adapt to changing regulations and applicable laws may be required.
•    Provide patient satisfaction survey and reporting enabling the department to quantify data associated with patient contact and patient perception regarding level of service provided. Survey data must be capable of being tied back to, or associated with the specific run number allowing the capture of data on specific crew members.