Ambulance Billing Services

The Vendor is required to provide for ambulance billing services include:
• Fire suppression and protection services
• Emergency medical services including ambulance transport
• Fire inspections, plan reviews, and fire investigations
• Special operations such as wildland fire suppression, urban search and rescue, hazardous materials containment/decontamination services, and aircraft rescue and firefighting (ARFF) services
• Community risk reduction through education programs in fire safety, teen driving, bike safety and other life safety programs.
- Comprised of 26 divisions and has approximately 765 full-time employees with a total expense budget of $198M annually.
- Provide detail of your firm’s billing services reporting system including but not limited to master files, receivable tracking, receivable reporting, financial scorecard and system reporting.
- The reporting process and how clients receive or obtain reports. Include any standards of service key performance indicators such as day’s sales outstanding (DSO) ratings or other measurements of your firm’s efficiency in processing accounts.
- Provide a statement defining your firm’s commitment in supporting the agency at the end of a contract period as it relates to potential transition of service to an alternate billing firm and the disposition of remaining collections after the contract period.
- Provide a list of all claims, fines, mediations, arbitrations, litigation, and judgments in which the proposing firm was involved with settlements or judgments exceeding $10,000 or which relate to EMS billing services, regulatory violations, or fraud. Indicate the nature of the claim and the reason for the fine, mediation, arbitration, litigation, or judgment.
- In the case of litigation and judgments, list the name of the other party or parties. Indicate the amount of any fines and judgments, and if they are paid or still outstanding.
- Assist the Contractor in obtaining the requisite provider and/or supplier numbers for Medicare, Medicaid, and other third party insurance carriers, and will obtain all requisite federal and state authorizations required; and further, shall forward this information to the successful firm as necessary to aid in the billing and collection of patient accounts.
- Apply medical coding in accordance with all HIPAA requirements, as well as requirements specified in any other federal or state law or regulation
- Bill patients and/or third party payers, including, but not limited to, Medicaid, Medicare, and commercial and private insurance carriers for all services rendered. 
- Itemize patient accounts of all EMS to the patient and/or third party payers.
- Follow-through with all patient accounts and/or third party payers as necessary to achieve final payment.
- Provide annual Medicare updates as required by the program.
- Provide re-enrollment of Medicare and other third party payers required by Medicare or by the respective third party payers.
- Provide EDI registration maintenance and updated applications for local Medicaid and Medicare carriers.
- Provide all required registration maintenance and updates of Contractor as the agency official patient billing address.
- Obtain signatures and provide mailing and follow-through on all enrollment forms with all third party payers.
- Provide orientation to agency personnel on correct information and ePCR completion to facilitate an efficient transfer of information.
- Be responsible for accounting of all payments received from patients, their insurance carriers, Medicare and Medicaid as appropriate.
- Conduct insurance finding and verification, and where appropriate, be responsible for appealing incorrect insurance payments and/or denials.
- Diligently pursue the collection of such billings and at all times comply with all applicable and most recent federal, state and local laws, ordinances, rules and regulations.
- Assist with the collection of raw data where patients were unable/unwilling to provide signatures or other raw information at the time of delivery of care.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: July 07, 2025