Emergency Medical Services and Billing, Claims Processing, and Revenue Cycle Management

The Vendor is required to provide of Emergency Medical Services (EMS) billing solutions.
- Provide to better understand available billing technologies, reporting tools, support services, compliance practices, pricing structures, and implementation timelines.
- The department uses an electronic patient care reporting (ePCR) system to document care and transport data.
- Provide a modern, compliant, and transparent billing solution that promotes fiscal responsibility, supports patient-centered billing, and identifies opportunities to increase revenue capture.
- Objectives
•    Identify operational models and billing workflows.
•    Understand onboarding and transition timelines.
•    Evaluate integration methods with ePCR systems
•    Identify value-added services that promote revenue integrity and patient experience
•    Validate assumptions regarding CMS/MEDICAID credentialing and legacy A/R.
- Encouraged to share information that reflects:
•    Commonly accepted practices,
•    Typical system capabilities,
•    Standard onboarding and support approaches,
•    Optional services that provide operational or financial benefits.
- Claims processing, denials, payer follow-up, and accounts receivable reconciliations are managed.
- The onboarding, implementation, and training support typically provided to new clients.
- Supported ePCR platforms and common integration methods (e.g., API, HL7, batch upload).
- Accepted data formats and file types (e.g., XML, CSV, JSON, PDF).
- Availability of real-time dashboards, including whether dashboards can be customized by department, role, or data category.
- Typical internal audit schedules, sampling methods, and benchmarks used to assess billing accuracy and consistency.
- Common practices regarding participation in external audits, facilitated by independent consultants, legal counsel, or government agencies.
- Typical error tolerance thresholds or industry-accepted error rates used for performance monitoring and compliance benchmarking.
- Support services offered for internal or external audits, including access to documentation, compliance reporting, and audit response assistance.
- Methods used to identify, monitor, and mitigate risk related to billing practices, workflows, documentation accuracy, and regulatory adherence.

- Questions/Inquires Deadline: February 9, 2026