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

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EMS Billing Services City of La Porte RFP #20510 * Please note that we typically process a bill for privateinsurance in about sevendays, but in cases 5. Discuss your quality assurance process and those firm processes that you feel generate increased collections. Our continuous quality improvement process for billing is a common-sense approach that, unfortunately, is not very common among our competitors. We manually review patient charts for all the elements that are required for a claim to be considered complete, including documentation of patient conditions, chief complaints, and signatures. Our staff uses this review process to provide your department with meaningful feedback that closes loopholes and increases reimbursement by focusing on compliance and clinical documentation while better managing litigation risk. Any claim rejections are reviewed, corrected if needed, and refiled immediately. Denials are infrequent, but those that we do receive are examined and resolved by the Accounts Receivable staff daily. In the event of a claim denial, our billing team works to correct the denial, send corrected claims, and resubmit them quickly and efficiently. We routinely run audits to help understand the cause of denials, assess responsetimes, and ensure we stay on top of changes in the billing environment. Any unpaid claims are reviewed every 30 days, and resolution is the responsibility of the Accounts Receivable staff. 6. Describe your process for evaluating and addressing outstanding accounts receivables from previous years, and anticipated outcomes and typical best practice results from your process. At EMERCICON, we refer to our process for evaluating and addressing outstanding accounts We will review your past 12 months of accounts receivable and identify opportunities to identify outstanding claims. This review allows us to understand how billing was done in the past and provide recommendations for improvementas needed. Historically, this has allowedEMERGICON to collectbetween $20,000 and $30,000depending on the state of the e anticipate being able to achieve similar results for the City. 7. What methods do you use to communicate with the provider? Our client success team is committed to open, transparent communication with clients. This communication occurs via email, telephone, and face-to-face meetings as needed.In addition, clients have access to a dedicated 24-hour client hotline for after-hours access to an EMERGICON manager. res 15 Confidential & Proprietary