EMS Billing

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Are You Maximizing Your Emergency Services
Revenue?

• EMS Billing
• Mileage Billing
• MVA Billing
• Structure Fire Billing

The Industry Leader
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Motor Vehicle Accident Billing

• Presented by
• Joe Newcomb

The Industry Leader
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Medicount Management Inc. Service

• Representing 130 Departments
• Representing over 50 MVA Departments
• The State of Ohios leading most involved chiefs
  turn to Medicount for their reimbursement needs.
• Frequently speak on the newest trends in EMS/Fire
  Industry

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Rules And Regulations

• State of Ohio
• Ohio House Bill 255
• Sec. 505.84.  As used in this section,
  "authorized Medicare medicare reimbursement rate"
  means such rate established for the locality
  under Title XVIII of the "Social Security Act,"
  49 Stat. 620 (1935), 42 U.S.C.A. 301, as amended.
• A board of township trustees may establish
  reasonable charges for the use of fire and rescue
  services, ambulance services, or emergency
  medical services. The board may establish
  different charges for township residents and
  nonresidents, and may at, in its discretion,
  waive all or part of the charge for any resident.
  The charge for ambulance transportation for
  nonresidents shall be an amount not less than the
  authorized Medicare medicare reimbursement rate,
  except that, if prior to the effective date of
  this amendment September 9, 1988, the board had
  different charges for residents and nonresidents
  and the charge for nonresidents was less than the
  authorized Medicare medicare reimbursement rate,
  the board may charge nonresidents less than the
  authorized Medicare medicare reimbursement rate.

• US Federal Government
• No Federal regulations against billing for such
  services

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Who is billed on MVAs?

• Auto insurance of At Fault party or party deemed
  financially responsible through investigation or
  court system
• Covered under Medical Payments rider of most
  insurance policies, varies by insurance company.

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4 levels of service

• Level 1
• Scene Safety and Investigation
• 435
• Minimum time at scene required

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Level 2

• Scene Safety, Investigation, and Clean-Up,
  Material used
• 495

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Level 3

• Scene Safety, Investigation, Clean-Up, Material
  used and Extrication
• 1800

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Level 4

• Scene Safety, Investigation, Clean-Up, Material
  used, Extrication, and Air Care
• 2100

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Information

• Police Report
• Gives Medicount the information needed about the
  driver at fault including name, address, and
  insurance information
• NFRS Report
• Explains the level of service provided, materials
  used, parties involved, their contact
  information, narratives, etc.
• Medicount Supplemental Information Form
• Used to gather any necessary information not
  obtained by the reports above

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City Personnel Training

• Administration Training
• Key contacts
• Month end reporting
• Resources available
• How to Maximize revenue

• Field Staff Training
• Complete documentation
• How to handle patient questions
• HIPAA

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Motor Vehicle Accident Billing

• Will this raise the residents/non-residents
  insurance premiums?
• No. The insurance premiums will raise due to
  their previous driving record and at fault
  liability.
• Will the auto insurance pay for this service?
• Yes. Most insurance policies already cover this.
  80 of the correspondences we have received back
  from insurance companies have returned with
  payments. 20 of those claims were denied as
  not a covered service. Those accounts have
  been appealed.

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• What services is the city billing for?
• The city is billing for materials used, time of
  personnel at the scene, and cost of the
  equipment. The 4 levels of charges determined by
  the city are a direct result of the supplies,
  personnel, and equipment used at the scene.
• Isnt this service covered by tax dollars?
• Tax dollars are utilized to ensure that the best
  services are available to the citizens of the
  City. As budgets become tighter, departments are
  forced to look for alternate sources for funding.
  Consider charges for MVA services as usage fees.

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• Is the patient responsible for any unpaid balance
  after the insurance company has paid?
• Unlike Medicare, Medicaid and other insurance
  companies, payments for these services do not
  require contractual adjustments. From an
  approved claim, if you charge 495, you will get
  paid 495
• What happens if the party at fault is not
  insured?
• Medicount will continue to operate as a soft
  billing company. If it is determined that the at
  fault party was not insured at the time of
  service, the patient is responsible for the
  balance. Three bills will be sent to the party
  before the account is deemed uncollectible and
  written off as bad debt.

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Collection Success

• What happens when there is more than one party at
  fault?
• In this case, the personnel at the scene must
  collect the multiple partys insurance and
  contact information and evaluate the amount of
  work done to each party. This will allow
  Medicount the information needed to bill
  accordingly.

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Active MVA Billing Communities

• Ashtabula Township
• Perry Joint Fire District
• Village of Sheffield
• Village of Grand River
• Richland Township
• Pierce Township
• Harmony Township
• Liberty Township Trumbull County
• Camden- Somers Fire and Rescue
• Mad River Township

• Monroe Township Trustees
• City of Galion
• City of West Carrollton
• St. Clair Township
• City of Cincinnati
• City of Forest Park
• City of Harrison
• City of St. Bernard
• Deer Park/Silverton FD

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In Addition

• Recent Evolvements in the MVA Billing Industry
• Success Stories of Current Billing Departments
• Q A

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Questions and Answers

• Thank you for your time, we at Medicount
  Management look forward to providing you with the
  best service in the industry.
• Joe Newcomb
• Account Representative