Specifications include, but are not limited to: The County is requesting proposals from qualified contractors to provide EMS billing services that includes patient transportation via ambulance to health facilities and/or other facilities for billable non-transport charges. Billing services include billing for Mobile Integrated Health Services (MIHS) reimbursements as described in Md. Code Ann., Article-HealthGeneral, § 15-114.1 and reimbursements through the Emergency Service Transporter Payment Program (ESPP). Services include collection from insurance carriers, financial reporting, analytical services, and employee training. Provide electronic billing of Medicare, Medicaid, and private insurance claims, including third party payors for EMS services provided including MIHS as allowable by state law, no later than five (5) business days of receipt of the electronic patient care reports (ePCR) from the County. Send second billing notice to the patient or responsible party thirty (30) days after the original billing. The third notice (final notice) will be sent to the patient or responsible party thirty (30) days after the second notice has been mailed. Billed services will include base fee, mileage, and on-scene medical treatment when applicable. Process all claims within 40 business hours of Contractor’s receipt of the claim. The claims shall be divided into multiple revenue categories including Medicare, Medicaid, Private Insurance and Private Pay.
