Emergency Medical Transport Billing and Associated Services

The Vendor is required to provide a comprehensive emergency medical services system providing Advanced Life Support (ALS) and Basic Life Support (BLS) transport services.
- The system supports a high volume of emergency responses and relies on a combination of career and volunteer personnel, integrated dispatch and reporting systems, and coordination with State-regulated entities.
- The County processes approximately sixty thousand (60,000) emergency medical transports annually, each of which represents a potential billable event requiring accurate documentation, coding, claim submission, reimbursement tracking, and financial reconciliation.
- The objective of this procurement is to obtain the services of a qualified Contractor capable of delivering a comprehensive, fully integrated, turnkey Emergency Medical Services (EMS) billing and revenue cycle management solution.
- Provide all personnel, systems, software, and operational support necessary to ensure accurate billing, timely claims processing, and effective revenue collection.
- Provide all billing-related data and reporting necessary to enable the County to independently perform financial reconciliation and accounting functions.
- Provide comprehensive EMS billing and revenue cycle management services covering all activities required to process, manage, and reconcile billing for emergency medical transport services.
- Responsible for the complete lifecycle of each billable EMS encounter, including claim creation, submission, tracking, collection, and reporting.
- Maintain and actively manage processes to ensure uninterrupted billing operations, proactively identify and resolve workflow disruptions, and prevent delays in claim submission due to internal or external dependencies.
- Ensure that all claims are accurately prepared and submitted within five (5) business days following receipt of complete and valid electronic patient care reporting (ePCR) data and all required supporting documentation.
- Establish and maintain a comprehensive denial management program designed to minimize claim denials and maximize successful reimbursement.
- Integrate its billing system with the County’s operational systems, including the electronic patient care reporting (ePCR) system, Computer Aided Dispatch (CAD) system, Records Management System (RMS), and State reporting systems.
- Such data shall include, but shall not be limited to, patient billing records, claims data, accounts receivable records, payment histories, financial reports, audit logs, system-generated data, and any derivative data created through analysis, aggregation, or reporting.
- Responsible for all aspects of EMS billing operations, including but not limited to:
•    Claims processing and submission
•    Accounts receivable management
•    Denial management and appeals
•    Patient billing and customer service
•    Reporting and analytics
•    Data integration with operational systems
•    Financial reconciliation support (no direct integration with County financial systems)