Specifications include, but are not limited to: • The Firm will commence billing the patient care reports upon the date in the Notice to Proceed issued by the Greenville County Procurement Services Division. • The Firm shall assign and identify a dedicated client representative to the Greenville County EMS account. • The Firm and all billers dedicated to the GCEMS account shall maintain certification through the National Academy of Ambulance Coders (NAAC). • The firm shall be able to prepare invoices according to: o The rates established by the County. o Guidelines and procedures established by the firm and the County. o All applicable laws and regulation including those from Medicare and Medicaid services (CMS) o All applicable policies and procedures of private insurers • The firm shall also bill all non-emergency transports according to all applicable laws established by Medicare, Medicaid and other applicable agencies. • All invoices shall also be billed in compliance with the Fair Debt Collection Practices Act. • Electronic filing is the required method of filing primary Medicare and Medicaid claims and is the preferred method of filing to all other guarantors, if applicable. Otherwise, paper invoices may be issued directly to appropriate patient guarantors. • The firm shall pre-screen all claims to confirm compliance with guarantors’ guidelines. (i.e. physician certification statements, assignment of benefit signature forms, medical necessity documentation) • The firm shall verify insurance eligibility utilizing available resources and commercial databases prior to the submission of any patient claim for reimbursement. • The firm shall make a good-faith attempt to call each patient when verification of insurance eligibility cannot be obtained by any other manner to ensure accurate guarantor responsibility information.