EMS Billing Services

The Vendor is required to provide ems ambulance billing and revenue cycle management services for its emergency, non-emergency, and critical care transport operations.
- Requirement:
• Electronic claim submission for Medicare, Medicaid, commercial insurance, managed care, workers' compensation, veterans affairs, liability, and self-pay accounts.
• Claims review, coding validation, eligibility verification, insurance discovery, denial management, appeals processing, and accounts receivable follow-up to maximize reimbursement.
• Patient billing and customer service, including payment processing, payment plans, dispute resolution, and multilingual support when available.
• Comprehensive revenue cycle management designed to improve collections, reduce denials, minimize accounts receivable aging, and maximize reimbursement.
• Secure integration with the county's electronic patient care reporting (EPCR) system, with preference given to vendors experienced with image trend and other leading ems software platforms.
• Secure online access to financial dashboards and reports, including charges, payments, collections, adjustments, write-offs, denial rates, aging reports, cash collections, and other key performance indicators.
• Compliance with all applicable HIPAA, Hitech, CMS, Medicare, Medicaid, false claims act, PCIDSS, and other regulatory requirements governing ambulance billing and patient information.
• A dedicated implementation team to support data conversion, software integration, testing, initial and ongoing staff training, and transition to full operational status.