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

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EMS Billing Services City of La Porte RFP #20510 11. Describe how you are currently compliant with HIPAA and identify theft protection? EMERGICON billing and collection services are fully compliant with the Consumer Credit Protection Act, Texas Debt Collection Act, Federal Fair Debt Collection Practices Act, and all other laws applicable to this type of activity. We maintain the confidentiality of all medical and patient information in accordance with the Health Insurance Portability and Accountability Act of 1996(HIPAA). MOT. PCS and other related information needed to submit a bill. Our billing process begins after patient transport is concludedand the chart is completed, closed, and locked. Run sheets (ePCR) are then imported into our ambulance billing software. Our billing specialists review the ePCR to confirm that no data was lost on import. This may include key details that are important in the billing process. EMERGICON billers will manually review the chart and assign the billing codes (e.g., ALS, BLS, Resident, Non-Resident). Once the claim is coded, our team completes payer research. Billing and Collection Procedure11), when runs , our ESO Billing Software timestamps any record and then imports the claim. We ensure the dates are verified and compare the claim to any available patient log for the day.We request face sheets, payer information, demographics, and any other missing data from the receiving facility by fax, phone, or mail. If information is not received within 24 hours, an EMERGICON staff member calls the facility. If information is still not received within 48 hours, the request is re-sent and the staff member calls the facility again. 13. How do you handle any discrepancies noted in an ePCR? If EMERGICON notices any discrepancy in the ePCR, our Billing Lead will work directly with the contact (the individual responsible for billing and/or quality assurance) to coordinate the resolution of that discrepancy. This is possible because we rely on humansnot computersto review each claim manually. 14. Describe the policies and commitments you have in place to comply with all Federal and State laws governing insurance billing requirements. As stated above, EMERGICON billing and collection services are fully compliant with the Consumer Credit Protection Act, Texas Debt Collection Act, Federal Fair Debt Collection Practices Act, and all other laws applicable to this type of activity. We maintain the confidentiality of all medical and patient information in accordance with the Health Insurance Portability and Accountability Act of 1996 EMERGICON keeps abreast of the latest changes in insurance billing and maintains a pulse on the industry. We also offer annual compliance training to our clients at events throughout the year with ® our contracted legal firm, Page, Wolfberg, and Wirth, The National EMS Industry Law Firm. 15. Describe your policy and commitment toward providing superior customer services; including Our staff is trained to provide the utmost service and support, including bilingual services. They draw on years of customer service skills to listen to patients and understand their needs and 51 Confidential & Proprietary