Emergency Ground Ambulance and Aeromedical Billing, Collection, and Financial Management Services

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