2007-11-12 Regular Meeting, Public Hearing and Workshop Meeting

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(1) EMS billing will be completed as soon as possible or within 10 days of the date of service. Subsequent billings and collection guidelines are based on the various payer types as follows: (1) Patient Payer (no insurance): 1 st Invoice 2nd Invoice 3rd Invoice Patient Final Invoice (10 days to pay) Attorney Final Demand Letter 30 days 60 days 90 days 120 days 130 days (2) MedicarelMedicaid Only Payer: 1 st Invoice Denial Received (prompts review) 2nd Denial (prompt patient billing) Patient Final Invoice (10 days to pay) Attorney Final Demand Letter 30 days 60 days 90 days 120 days 130 days (3) Medicare with Supplemental Health Insurance Payer: 1 st Invoice Denial Received (prompts review) 2nd Denial (prompt patient billing) Patient Final Invoice (10 days to pay) Attorney Final Demand Letter 30 days 60 days 90 days 120 days 130 days (4) Worker's Compensation: 1 st Invoice Denial Received (prompt third party billing) 2nd Denial Received Patient Final Invoice (10 days to pay) Attorney Final Demand Letter 30 days 60 days 90 days 120 days 130 days Worker's Compensation has sixty (60) days to approve or deny a claim. A Worker's Compensation denial will transfer the billing process to a third party payment type (employer). The patient cannot be billed until both the employer and Worker's Compensation have both denied the claim as a non-industrial related injury (following an appeal process). (5) Third Party Liability: 1 st Invoice to Insurance and/or Patient 2nd Invoice 3rd Invoice Patient Final Invoice (10 days to pay) Attorney Final Demand Letter 30 days 60 days 90 days 120 days 130 days Patients must resolve litigation matters (i.e., auto accidents) outside of this billing process due to the length of time involved in typical civil claims dispute process. The patient will be held responsible for payment.