EMS Billing, Collection, and Posting Services

Summary (Newest Update)

Background The County of Charleston is seeking proposals for billing, collection, and posting services for the Charleston County Emergency Medical Services (CCEMS) Department. The goal of this contract is to enhance the efficiency and effectiveness of the billing process while ensuring compliance with applicable regulations. The estimated collections for Fiscal Year 2025 were approximately $12.4 million, with gross charges around $20 million annually. The new contract is set to start on August 1, 2026. Work Details The contractor will provide comprehensive billing, collection, and posting services including: 1. Accepting patient data from an ePCR system called ESO. 2. Obtaining necessary software to interface with ESO. 3. Billing non-transported patients as per county policy. 4. Preparing management and financial reports on delinquent accounts. 5. Reviewing each PCR for content accuracy and completeness. 6. Filing insurance claims to appropriate payers and managing third-party liability claims. 7. Mailing invoices to transported individuals at approved rates. 8. Ensuring no offshoring of health care records or claim submissions. 9. Providing a local or toll-free contact number for customer inquiries. 10. Complying with HIPAA and other relevant regulations. Period of Performance The contract period will commence on August 1, 2026, and will continue as specified in the final agreement. Place of Performance Services will be performed in Charleston County, South Carolina. Bidder Requirements Bidders must have been in business as the same entity for a minimum of ten (10) years. They must demonstrate compliance with HIPAA, HITECH, and other applicable privacy regulations, maintain necessary certifications such as Certified Ambulance Compliance Officer (CACO), and provide evidence of compliance with identity theft protection standards.