Comprehensive Billing Reimbursement Collection and Administrative Services

The vendor is required to provide comprehensive billing, reimbursement, collection, and administrative services for emergency medical services (EMS).
- Billing, collection and reporting
•    Verify demographic information prior to billing using available resources including subscription services, hospital verification or information obtained through “face sheet” demographics obtained by the city. 
•    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. 
•    An assigned project manager will be assigned to the city and be able to provide the attention and specialized service necessary for the department. 
•    Always maintain the highest billing compliance standards possible in partnership with the city of, including assurance that all medicare, Medicaid guidelines are always met. 
•    Department will meet compliance standards and participate in improvement activities. 
•    All third-party reimbursements shall be tracked individually and in aggregate with full reporting capability to measure billing and collection performance.
- EMS billing and collection consulting
•    Department 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, measurable, and longstanding.
•    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.
•    Consultancy shall be directly related to the financial sustainability of the city and efficiency of the billing and collection of EMS revenues.
•    Consulting services shall include analysis of past practices and recommendations for improvement strategies to improve overall financial health of the city.
- EMS patient satisfaction data collection and reporting
•    Provide patient satisfaction survey and reporting enabling to 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.
•    The patient satisfaction survey responses and data shall not be limited to general system-wide information but rather must be specific and accountable to specific run or call.
•    The patient satisfaction survey system must have the capability to capture and report specific patient comments.
•    The system for aggregating this data shall be capable of benchmarking the results for the department against other EMS agencies and previous periods.
- Cardiac arrest data collection, database management and reporting
•    Provide and manage a cardiac arrest database for the department.
•    This database will include all elements and reporting requirements of the Utstein style template and cardiac arrest registry to enhance survival to analyze out of hospital cardiac arrest data in the EMS system.
•    Provide clinical database of all data related to the cardiac arrests within the system. 
•    This data collection system shall be able to collect data, benchmark results and allow for comparison of local data to local, state and national results. 
•    Responsible for the data entry necessary to maintain high quality data for cardiac arrest outcomes.

- Contract Period/Term: 3 years
- Questions/Inquires Deadline: September 3, 2025