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Ambulance & Medical Billing Presentation Ambulance and Medic I Billing fig ::, ... 4 Billing Solutions Designed to „"; -���» - - Meet Your Business Needs X10 ,. .i, ti,, .„. „.. .. , .. . , ,.. ,,,_,, ,„..,, , ' --- . ,„74.,,, , [ '-',7*,,,,,,,,,,'0:5.:,.„.-,,t:;-:,;,,..1,,,.,,,,„,, c?_ .0-klvc-i \c"\cb‘-- ,r,41.,,,,,,,,,,,-, ,,:- Presentation for Collier County, , Emergency Me .cal f ��. , Services 1� C il AdvisoCounc , , , ,,,_ k ,62t,,,_ ,v,\,z,.___ _ 0*. _ , . .. , 1 1 August 14, 199. ,,,,\. \ \ c____ V-/-466\ i %,-6\'qg- , \\\(,,,,,\\u ... ,, , ..4.'` 0 A N \, ,, Va \/\\CSW\rl?' H6))) .\t\I‘(A 0\ 5 kAfil7, I4,ip,,,,,N) •-\' .-\-. siktg- - ItiP4 - 6(.1'r - \ , \r(2$1. oTbi) 1 ______4,0 )-)r\1,,I\-9.--, \l'K.,- V NbS,e1)--3`• -- )S,\6,4 9---('-'V 0,71 lan I Nagle Ambulance and Medical loom tea. Miss 'e' �• E �"' RM a t Billing Solutions Designed to Meet Your Business Needs by focusing on three major objectives: .4 Provide the best possible service and support to our client • Ensure the highest degree of cash flow by collecting the highest amount possible from the Accounts Receivable • Continuous flow of billing through electronic transmission of claims C t Your business is im p ortant to our business because Success for Collier Count M � e • f . Success for Ambulance and Medical Ong,. t We become a team in the effort to p rovide the best medical service. I I 111. moo • 0 Ambulance and Medical Bil ling Benefits of a Billing Service 1111 Higher Cash Flow • Incentive to collect AIR • Knowledgeable on Regulations •I _ , • Electronic Claims - 14 day Turnaround • Enables the Client to Concentrate on Performing Other Business Functions ■ Reduces Stress on the Client From the Administrative Hassle ■ Details Handled Professionally • Patients • Insurance Companies • Management Reports 4 ■ Continuous Flow of Billing/Collections • Higher Volume of Claims Processed ■ Knowledge of Insurance RegulOions air itto Ambulance and Medic - 11u / h P Xtr 41 fi r I Billing of Daily Charges 4- � • Electronic Claims to Medicare, Medicaid, and BCBS/HMO • Paper Claims or NEIC Clearinghouse I Posting of Daily Receipts • Filing Secondary Claims Automatically - Medigap/Crossover Claims - Paper Claims • Invoicing Private Pay Patients I Monitoring the Accounts Receivable • Accounts Receivable Reconciliation • Following Up on Unpaid Claims • Reviews to Medicare/Other Insurance for Denied • Statements of Amount Due Monthly to Patients I Monthly Management Reports of Accounts Receivable and Statistics • Revenue Reports (Charges Generated) • Receipts (Cash Received) • Special Designed Reports (Specific to Client) Ambulance and Medical Billing _:. ,,,,-;. ,, ",,, %. 77...,r'w a:, .,..,,,„,.1.1 ,1,0„,,,....44 ,, 1. . ,,t,,;.,„5480,vz,-..t44144.„,..,4.1._„.42,# „: Accounts Receivable .,- , fi' r a 1.4,5,tevetero.:,.,,...:.:.,, ,e4v444,01,m,t,,,,,,ot.4.0.„.. ,,...,.,...,,,,....0.4.0..„,44,...„,„,e.i.„.i.,.„4.44„, ,, { � a event ., . „,,,,,,..4,, „,4g,t,. ., , 1' � ,. ,2�E .rkbi:. � ._ ,�_ >.., „ ' , * ay,. ,::„..-. E -Accounts Aa* '1, .05,,,--‘,4r,. -R4 ,, 'Receivable `` , ,r F r0 AMana 9e ment Entering Transport Charges ■ i i 1 ■ I Electronic or Medicare/Other Statements Paper Claims to Follow-up On Insurance Monthly to Insurance Unpaid Claims Reviews and Patients Companies Hearings 1 Posting of Reviews Hearings Patient Invoices Patient Payments and Refile Claims to Invoice Patients Recover 80%of Recover 80% for Individual Statements of All Secondary Claim Insurance for Balance Denials Review Denials of Dates of Service Dates of Service Follow-up r fi+ 461 -*fay Ambulance and Medical ` BiIIi' 1 1 Manage ,t 1 The Management Reports includes the following on a J monthly basis: • Revenue Report: a comparison of all the months of operation revenue on the same page for easy reference • Receipts Received: provides the figures for the receipts received during the month by deposit date. • Comparison of Cash Receipts: provides the cash receipts for the entire operation • Averages: comparison of revenue and procedure performed or patient transports during the month • Outstanding Revenue: accounts receivable distribution for the month by the type of payor • Special Designed Reports: reports created to the specific needs of your practice with the criteria you need to know about m Ambulance and Medical . ' F M {t a 01% $ ' s -s>1^ 1 Included x II • Monthly Reports of Activity ■ Management Report ■Accounting Report for CPA I • Training to EMS Personnel ► Data Collection ■ Report Writing for Best Cash Return • ■ Hospital Connection • We can send the personnel and/or link up with the local hospitals for p, i? insurance information. ■ Confidentiality ► We are contracted with the insurance companies to retain patient. confidentiality. ■ Insurance Protection ► $1,000,000 Errors and Omission Insurance • $500,000 General Liability Insurance ■ Invoicing the Public - ► Monthly Statements requesting insurance or payment ►You designate the level of pressure applied for requesting payment. ► Letters requesting response from patient are custom designed 1 I qtr a 1 Ambulance and Medical �� I f ��'a'F.tsRl �a ak9. mi+i 1 1 Goals x. a...t.ei F ^—.[. ...mow z, -w ,,k. 1N.<. . ,. a y._r... 4.• v.Tt ?... nog ` I ■ Goal of AMB is to Produce More Cash Flow From Existing Revenue By: ' • Changing Collier County EMS to a Participating Provider and Utilize the Medicare Approved Rate as a Base Rate for Services. 1 • Change Collier County EMS to Accepting Assignment for Greater Control of Receivable and Cash Flow. • Place Collier County EMS on and Electronic Claims Billing Package to Have a Greater Turnaround of Accounts Receivable and Cash Flow.. ■ Benefits to Collier County Citizens: • Claims are Handled for the Citizen Reducing Billing Errors and Hassles. • The Citizen does not have to Become the Middleman because Medicare will Pay Collier County EMS for the Services. • Collier County EMS Handling the Claims is Less Confusing for the Citizen. ■ Benefits to Collier County EMS: • Medicare pays Collier County EMS Reducing the Middleman Hassle with Cash Flow • Greater Control of Accounts Receivable • Greater Amount of Cash Flow from Existing Revenue and Continue to Stay within Medicare Guidelines. ■ • Good Public Relations to Collier County Citizens because Collier County EMS provides the Best Possible Medical Care and Follow-up with Insurance for the Citizens. and Medical A m b u i n c e F;$:-` $� r Am . a } b f '' F7 x „ 4^�$ a J t,,,-..F4 ��,'f e�pp,'' ;c r� _- ''y,.V'i T A cgs. •i wA A 1,....,,.„,..... _ Medicare of Florida Rates as �x ,,...„ „,..,-13 „,,,0„ ,,,,,R.,„ For Locality 03 qty e. ,Yt • TYPE OF SERVICE Par .,0 ALS Base Rate 284.53 ALS Mileage 5.81 z3 Allt r ,:, 111:;:c4-..R.,‘,,a it c,0 ,4Ar t%, a h e iipto; 47.0a: G;s II Ai mit al im AmbulanceandMedicalBilli k ,} hitS t , :I "ery' 'Ft"t` 3 F ! n a Ya `'Ux -o-a- sx U s� x�r ,, Cr �,,,v 4c.1 -,.s wz NS'X54-4, ;i;-, s;grit R'zt- _-- u.p,'i t, I Ambulance f ,-g.„,,,,,„-. �. e rr-a ka ,„ ..,,,,,w.„.,,„.,,4,,..,,,,,„„,..,._, '" .*. ors: Lee County R Emergency Medical Services �� Fort Myers, Florida �� �ry ■ Fort ____Beach Fire Control s lim 7 Fort Myers Beach, Florida , 10- Lehigh Acres Fire and Rescue District ct II Lehigh Acres, Florida I 1*- Jacksonville Fire Rescue I University Hospital Jacksonville, Florida in 41 411 NNW s lim iii Ambulance and Medical Billing= i as " r,-,4„,-;--',--,=1-,t ^•a ,F`i ?-'- ; Kl .,9 3 y. w'„ y ■ 6% of Monthly g* If payment is not Cash Received received on your charges billed, we don't bill you. ,-.,,,,,,, :,:„., 96A \A'11°1 . 4,. 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