EMS Billing Services

The Vendor is required to provide currently in the developmental stages of an in-house Emergency Medical Services (EMS) Program with a goal to be fully operational by late 2026.
- The EMS department will not include personnel designated for billing management therefore we are seeking to establish an annual contract with a company qualified to and interested in providing comprehensive EMS Billing Services.
- Contract will include but not be limited to providing ambulance billing, emergency medical services billing, and collection from insurance companies, financial reporting, and analytical services related to the EMS operation of County.
- Company will be expected to function as an independent service provider and to perform all necessary services related to the development, implementation, operation, and maintenance of a medical billing system.
- Billing
• The billing of patient care reports shall commence upon the start-up date established by both the awarded company and the County.
• The County will perform daily quality assurance reviews utilizing validation tools and officer review of all patient care reports prior to being marked reviewed for billing. The company will be responsible for pulling reviewed transports from Image Trend to identify and ultimately bill the appropriate guarantor for services provided.
• Company will receive daily electronic billing data and other related billing information by way of encrypted FTP file or batch filing process. Claims should be processed within two (2) days of receipt of ePCR information.
• Company will be responsible for reviewing each Patient Contact Report (PCR) for content and accuracy for billing purposes. The company will be responsible for contacting the designated County personnel to correct any discrepancies.
• Records and histories for services processed by the Company shall be available and accessible by authorized County personnel through online access to the Company’s billing system.
• The company must have access to and utilize insurance coverage databases to provide billing information when not collected by the EMS crews.
• All client complaints concerning services rendered will be directed to the designated individual within Oconee County EMS and tracked in a ticketing system provided by the company.
• The company will not increase percentage nor charge additional fees for billing after any number of days.
- Customer service shall be provided at corporate offices from 0800 to 1700 EST using a toll-free customer number answered by an employee of the company. This service shall not be contracted and shall be located at a corporate office in the same time zone as the County. Company must make a good faith effort to make return contact to all customers within twenty-four (24) business hours after initial contact from any customer has been received.