11-09-20 Regular Meeting of the La Porte City Council

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EMS Billing Services City of La Porte RFP #20510 EMERGICON utilizes standard tools, like skip tracing, to track down patients with balances. Invoices are remitted every 30 days to patients with open account balances. Patients who are making payments against their balance continue to receive statements until the account balance is paid in full. Private pay patients receive statements until the account is written off, sent to collections (per encourage patients to agree to a mutually acceptable solution to resolve their bill. We may make the following suggestions for collections: Write off disposables Presenting a smaller balance may make the difference in whether the patient feels able to pay the bill versus ignoring it due to feeling overwhelmed by the charges. Prompt pay discountOffering a discount for prompt payment can encourage patients who are able to pay most (but not all) of their bill upfront. Nearly half (44%) of all EMERGICON clients authorize a prompt-payment discount for delinquent private-pay accounts. The discount, typically 25%, is not advertised and is reserved for patients who inquire about a discount for full payment. The EMS agencies that authorize this policy experience higher total private-pay cash collections. Our unique, continuous quality improvement process identifies trends and potential problems with claims, offering custom solutions to rectify those issues and to close any loopholes before accounts go to collections. If we remain unable to collect a payment, we will share all the claim details with the - party collections agency. More than one-fifth of all EMERGICON clients incorporate a third-party collection agency. By placing an accountwith third-party collections, recovery increases. This is primarily the result of a dunning letter sent to the patient, followed by phone calls from the collection agency. EMERGICON supports the third-party collection agency by answering any questions the patient may have related to the debt. 3. How many bills does your company per year generate? EMERGICON generates more than 350,000 bills per year. 4. What is your turnaround time to process a bill for Medicare, Medicaid, self-pay or private insurance? EMERGICON works to bill all claims the next day. We run proprietary audits to ensure claims are not ssly. Additionally, EMERGICON staff reconcile all incidents in theePCR software to the claims billed for the month as part of the reconciliation and monthly close process. If a patient has a high deductible, we may hold the claim for up to 30 days to allow other possible claims to hit their insurance and potentially lower the amount a patient owes to the EMS provider. And, if there were ever an instance in which EMERGICON failed to bill out a claim that was submitted to us in a timely manner, we would credit back to the client the amount they would have expected to receive from the claim. EMERGICONturnaround timesfor bill processingare as follows: Medicare3days Medicaid1.5days Self-pay7days Private insurance*7days 14 Confidential & Proprietary