CITY COUNCIL AGENDA ITEM
ACTION REQUESTED:
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Approve the Award of RFP 17-039, EMS and Non-EMS Billing Services, to Andres Medical Billing Ltd. for an amount of 3.1% of total dollars collected for EMS billing services and to Fire Recovery USA, LLC for an amount of 20% of total dollars collected for Non-EMS billing services and for a three-year term.
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DEPARTMENT: Fire Department
SUBMITTED BY: Mark Puknaitis, Fire Chief
BOARD/COMMISSION REVIEW:
N/A
BACKGROUND:
EMS Billing Services
In 2004, the City began outsourcing billing and collection support for ambulance transport and emergency response (EMS Services) to take advantage of the most efficient and cost effective technology and processes. Using a service provider allowed access to current technology and up-to-date automated processes for filing with Medicare, Medicaid and other private insurance carriers and claims payment processing in addition to improved customer service. Use of the outsourced service provider processes also benefits the City by accelerating collection of ambulance fee revenue and increasing the collection rate.
EMS billing continues to increase as annual call volume increases. Last year, Naperville Fire Department ambulances responded to nearly 8,000 EMS incidents. More than 6,000 of those were billable calls that resulted in the transport of a patient to the hospital. The City's current contract for EMS billing services with Andres Medical Billing (Andres) ends June 30, 2017.
Non-EMS Billing Services
On October 18, 2016, City Council approved Ordinance 16-173 to institute new fees associated with Fire Department responses to motor vehicle accidents and vehicular fires (Non-EMS Services). The ordinance went into effect Jan. 1, 2017.
Since Andres already provided the City with billing services for EMS, the City reached out to Andres to see if they were willing to expand their scope of work for the remaining six months of their contract to include the new Non-EMS billing ...
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