Comprehensive Emergency Medical Administrative Services

The vendor is required to provide for comprehensive emergency medical services (ems) administrative including ems clinical, operational, consulting, and billing services.
- Provides emergency ambulance service to town in its entirety and currently operates at the advanced life support level.
- Providing successful ems related services to other agencies and jurisdictions, experience and ability to administratively support a municipal ems system, and the capacity to make recommendations using a financial model that sustains the system’s ability to advance.
- Billing, collection and reporting:
• Patient care reports, face sheets, demographic information, and proper patient signatures from the agency and process information on individual parties, insurance companies, medicare and medicaid.
• The proposer shall verify demographic information prior to billing using available resources including subscription services, hospital verification or information obtained through “face sheet” demographics obtained by the agency.
• The proposer shall 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.
• The proposer shall 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.
• The successful proposer shall assign to the agency a project manager to provide the training and service necessary to navigate the billing system.
- EMS billing and collection consulting:
• Provide to the agency quantitative analysis of current billing functions using industry accepted metrics for periodically measuring, analyzing and controlling the billing and collection functions.
• Fully explain any recommended changes to improve revenues, operations or systematic review methods, including reporting and review schedules.
• Consulting services shall be targeted to system changes and policies that are attainable, measurable, and longstanding.
- Consulting services shall include analysis of past practices and recommendations for strategies to improve overall financial health of the town.
- Provide a web-based PCR review system that will facilitate the clinical and signature compliance follow-up for any run generated as a PCR.
- The system shall be capable of adding appropriate system users outside the agency such as hospital staff, physicians, hospital ems coordinators, etc.
- The system shall be fully capable of requesting specific feedback for tagged calls and accept feedback into the system in a secure environment.
- The web-based system shall include a simplified search function which shall be fully integrated into a CQI system, enabling full search criteria including fields within the database.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: March 20, 2025