Addendum 1 - Ambulance Billing

 

CERTIFICATE OF ACKNOWLEDGMENT OF RECEIPT OF ADDENDUM

 

THE CITY OF READING

 

ADDENDUM NO. 1 RFP:             RFP – Ambulance Bill Collection
  DUE DATE:    February 19, 2019
                    3:00 P.M. Prevailing Time

 

NOTICE

 

Please be advised the due date for this project has been changed to

 

Q1. Business Privilege Tax: Is the Business Privilege tax based on gross receipts from this contract or gross receipts of the company from all of its business? Any further explanation of this due amount would be greatly appreciated.

 

A1. It’s based on the gross receipts from this contract.

 

Q2. What is your current price/fee rate with your current ambulance billing provider?

 

A2. The percentage being paid to FirstStates is 7%, but there was an Incentive program included in the 2015 Amendment to the Agreement that provides the following:

FirstStates must maintain a $250,000.00 monthly revenue-running total.

 

When FirstStates maintains the monthly minimum total revenue. FIrstStates qualifies for the following rates on a monthly basis.

 

All revenue collected under $300,000.00 will be processed at 7%.

 

All revenue collected between $300,000.00 and $350,000.00 will be processes at 9%.

 

All revenue collected in excess of $350,000.00 will be processed at 12%.

 

Q3. What are the base rates charged by the City at present?

A3. BLS Emergency $700.00

ALS 1 Emergency $850.00

ALS 2 Emergency $900.00

Mileage $10.00/loaded mile

Miscellaneous Charges

Medicare

 

 

Code

Description

2018 Allowable

A0429

BLS Emergency

$350.34

A0427

ALS 1 Emergency

$416.03

A0433

ALS 2

$602.15

A0428

BLS Non-Emergency

$218.97

A0426

ALS Non-Emergency

$262.76

A0425

Mileage

$7.37

A0427

ALS 1 Emergency

$416.03

A0433

ALS 2

$602.15

A0428

BLS Non-Emergency

$218.97

A0426

ALS Non-Emergency

$262.76

A0425

Mileage

$7.37

Medicaid

     
 

Code

Description

2019 Allowable

 

A0429

BLS Emergency

$180.00

 

A0427

ALS 1 Emergency

$300.00

 

A0433

ALS 2

$300.00

 

A0428

BLS Non-Emergency

$180.00

  A0426 ALS Non-Emergency $300.00
  Mileage $2.00 per mile after 20 loaded miles

 

 

 

 

Q3. For 2018, what were the total net collections/reimbursements?

A3. $3,018,197.45

Q4. For 2018, what was the payer mix, based on number of claims submitted to each category as the primary payer?

  1. Medicare

  2. Medicaid

  3. Commercial Insurance

  4. Self-pay

 

A4. Payor Mix

Patient paid 10%, Medicare 31%, Medicaid 36%, Commercial 23%.

 

Q5. What ePCR system is in use for patient charting?

A5. ESO Solutions

Q6. Does the city have a subscription-based or residency-based membership program, whereby subscribers are not required to pay a balance after insurance pays?

 

A6. Yes

 

Q7. What is the current percentage fee being paid to FirstStates Financial, who manages your EMS billing?

 

A7. The percentage being paid to FirstStates is 7%, but there was an Incentive program included in the 2015 Amendment to the Agreement that provides the following:

 

FirstStates must maintain a $250,000.00 monthly revenue-running total.

 

When FirstStates maintains the monthly minimum total revenue. FIrstStates qualifies for the following rates on a monthly basis.

 

All revenue collected under $300,000.00 will be processed at 7%.

 

All revenue collected between $300,000.00 and $350,000.00 will be processes at 9%.

All revenue collected in excess of $350,000.00 will be processed at 12%.

 

Q8. What bank do you utilize?

A8. Wells Fargo

Q9. Why are you putting this out to bid?

A9. Current contract expires.

Q10. What are the total runs on average each year?

 

A10. 19,000. What was the total run number for 2018? 19,716.

 

Q11. What was the total number of billed runs for the past 2-3 years? (required info for us to calculate average payment per run)

 

A11. 14,325 for calendar year 2017. 13,898 for calendar year 2018.

Q12. What were the total payments for the past 2-3 years?

A12. 2017-$3,135,071.31 and 2018-$3,018,197.45

 

Q13. Does the City bill “Did not Transport/Refusals”?

A13. No.

Q14. Does the City balance bill Residents?

A14. Non-subscribers, yes.

Q15. Non-Residents?

A15. Yes.

Q16. Who is their current biller?

 

A16. FirstStates Financial Corporation.

 

Q17. For how long have they done that billing?

A17. Since 2001.

Q18. Did it cover the same items & services as in this Bid/RFP?

A18. Yes.

 

Q19. Which facilities (hospitals, nursing homes, dialysis centers, etc.) are patients transported to?

 

A19. System provides 911 service only, with transport to hospital emergency rooms.

 

Q20. Do the EMT’s routinely get Face Sheets from hospitals and scan them into your ePCR software for download to the billing service?

 

A20. Face sheets are obtained, but currently not scanned as part of ePCR.

 

This addendum must be signed, attached to, and returned with your proposal to the City of Reading by the time and date indicated ABOVE:

 

Please be advised the due date for this project has been changed to February 19, 2019 3:00 PM prevailing time.

 

I, HEREBY CERTIFY THAT THE CHANGES COVERED BY THIS ADDENDUM HAVE BEEN TAKEN INTO ACCOUNT.

 

Firm Name (Type or Print)______________________________________

 

Authorized Signature___________________________________________

 

Title_________________________________________________________

 

Name (Type or Print)___________________________________________

 

Date_________________________________________________________