Specifications include, but are not limited to: The City of Lincoln, hereinafter called Owner, is requesting proposals from qualified proposers to submit responses for an Emergency Medical Services (EMS) Billing Rate Study, hereinafter called “EMS Billing Rating Study”. The owner desires to have a billing rate study completed by an independent agency that will include analysis, examination and recommendations for possible implementation. Some of the primary areas of interest are as follows: 1. Evaluate current billing rates to determine if they cover operating costs 2. Evaluate current billing rates for comparison in the regional geographical area 3. Provide suggestion on future billing rates to provide operational sustainability for the next five years 4. Evaluate collection rates and compare to like and similar agencies 5. Provide suggestions on improving collections 6. Evaluate internal billing and collection processes and provide comparison to similar agencies 7. Evaluate contracts with rural agencies to provide ambulance services in the surrounding counties