The vendor is required to provide that emergency ground ambulance and aeromedical billing, collection, and financial management services include, but are not limited to:
• Managing the billing and collections process to ensure timely reimbursements, promptly address any billing discrepancies, and oversee debt collection efforts.
• Ensuring the billing system is continuously updated to optimize reimbursement, maintain compliance, and accurately process all emergency medical service (EMS) service charges.
• Implementing and maintaining robust security protocols to safeguard patient data, ensuring compliance with HIPAA and other applicable regulations.
• Working directly with patients, hospitals, and EMS providers to resolve billing issues, address overcharges, and ensure accurate patient information for proper claims processing.
• Providing detailed, real-time financial and performance reports, along with fully customizable dashboards, to ensure effective oversight and financial management of EMS services.
• Adjudicating billing files for accuracy and ensuring all assets and expenses are properly ledgered on a monthly and yearly basis, adhering to generally accepted accounting principles (GAAP).
• Creating and maintaining reporting dashboards linked to this EMS financial service data, providing dynamic and real-time reports for financial oversight.
• Integrating the system with state appropriated dollars and expense ledgers to identify and highlight any shortages in cash flow.
• Developing a reporting module that proactively identifies areas for audit and recommends actions to address potential discrepancies or concerns
- Agency is responsible for the operation of a comprehensive and integrated emergency medical services system, which includes, but is not limited to, the following services: air and ground 911 emergency response, transportation of emergency patients to hospitals or alternative destinations, treatment of patients not requiring transport, and community paramedicine services.
- Additionally, agency manages the billing and collection of fees associated with these services, as well as overseeing and managing the financial aspects of the services.
- The management of outstanding debts arising from such services shall be included within the scope of this agreement; however, this specific service may be subcontracted at the discretion of the contractor.
- Non-Mandatory Meeting Date: January 29, 2025