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?K <br />INDIAN RIVER COUN'T'Y <br />OFFICE OF MANAGEMENT AND BUDGET <br />PURCHASING DIVISION <br />DATE: August 21, 2023 <br />TO: BOARD OF COUNTY COMMISSIONERS <br />THROUGH: John A. Titkanich, Jr., County Administrator <br />Kristin Daniels, Director, Office of Management and Budget <br />FROM: Jennifer Hyde, Purchasing Manager <br />SUBJECT: Approval of Agreement for Ambulance Billing and Coding Services <br />with EMS IMC <br />BACKGROUND: <br />On June 20, 2023, the Board approved the final ranking of firms from RFP 2023036, and <br />authorized negotiations with the top ranked firm, EMS Management & Consultants <br />("EMS I MC"). The agreement with the current provider, Change Healthcare, expires April <br />30, 2024, and execution of the agreement now will provide the new provider and staff <br />ample time to coordinate and prepare for a seamless transition. <br />In addition to all of the services anticipated in the RFP, EMS I MC has also agreed to include <br />lockbox services, at no additional cost. The County spent a total of $471,133.34 in Fiscal <br />Year 2022 and $399,286.68 year to date in Fiscal Year 2023 on these services combined. <br />The current and proposed fees for ambulance billing services are shown in the table below: <br />Item <br />Change Healthcare <br />EMS I MC <br />Difference <br />(current contract) <br />Percentage of Net Collections <br />6.8% <br />4.75% <br />(2.05) <br />Additional Per Medicaid <br />$13.50 <br />$9.50 <br />$(4.00) <br />atient <br />Per client prior claim <br />$75o <br />n/a <br />$(7.50) <br />(previous month) <br />( <br />Prior A/R Gross Collections <br />10% <br />n/a <br />(10)% <br />EMS I MC's fees will also include 6% of the reimbursements received by the County under <br />the Public Emergency Medical Transportation ("PEMT") program (through the Florida <br />Agency for Health Care Administration) for Medicaid Fee for Service provided by their <br />partner, Public Consulting Group ("PCG"). <br />The term of the agreement is three years, with two three-year renewals available. <br />111 <br />