Thinking about bringing your EMS Billing In-House? Thinking about

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  • Thinking about bringing your EMS Billing In-House?Thinking about bringing your EMS Billing In-House?Presented by: Stacey Bickford, Product ManagerPresented by: Stacey Bickford, Product Manager

  • Summary

    NAAC CEU Approved!

    Assumptions

    Outsourcing Your Billing

    Example Outsourcing Costs

    Bringing Billing In-House

    ZOLL ePCR Integration

    Example In-House Costs

    Questions??

  • This webinar is CEU approved for 1 CEU Credit. All certifications will be delivered to all attendees

    after the webinar.

  • Assumptions

    Average transport reimbursement $429 per the latest U.S. Government Accountability Office (GOA) findings

    http://www.gao.gov/products/GAO-13-6

    ZOLL recommends 4000-6000 runs per biller per year 4000 Low end for Non-Emergency

    6000 Low end for Emergency

    $35,000 annual salary for billers

  • Outsourcing Your Billing

    6-15% cost on average

    % of reimbursement collected by the billing agency

    I have seen up to 25% on accounts over 90 days

    No billing staff needed in-house

    No hardware costs

    Some billing agencies offer ePCR with services!

    For a list of ZOLL Preferred Billing Partners, visit http://www.zolldata.com/preferred-billing-partner-program/

  • Outsourcing Your Billing

    PCR documentation is KEY to outsourcing

    Billing agency codes/bills based on documented treatment/assessment

    NEMSIS provides a standard for sending PCRs from one agency to another electronically

    Paper PCRs could impact your DSO if agency has to complete data entry of runs when received

  • Outsourcing Your Billing

    Things to keep in mind:

    Billing agency responsible for software/compliance changes

    Monitor KPIs to validate data and revenue

    For our latest white paper on monitoring KPIs visit: http://info.zolldata.com/ambulance-billing-kpis-white-paper

    Potential hurdles with Outsourced Billing:

    No direct access to data

    Limited visibility into accounts

    Solely reliant on Billing Agency to collection revenue

  • What do you mean 6-15% Cost?

    Example: ABC Ambulance (3000 runs p/year)

    3000 Runs x $429 (avg. p/run) = $1.29 M

    @ 6% of 1.29 M = $77,400 cost p/year

    @ 15% of 1.29 M = $193,500 cost p/year

    *Calculations based on earlier assumptions

  • What do you mean 6-15% Cost?

    Example: XYZ Ambulance (20,000 runs p/year)

    20,000 Runs x $429 (avg. p/run) = $8.58 M

    @ 6% of 8.58 M = $514,800 cost p/year

    @ 15% of 8.58 M = $1.29 M cost p/year

    *Calculations based on earlier assumptions

  • Bringing Billing In-House

    No % cost on collections

    ZOLL provides communication to notify customers of necessary industry changes!

    Costs primarily comprised of: Staffing

    Recommended: 4000-6000 runs per year per biller

    Billing Manager

    IT Staffing

    Contract IT an option

    Hardware

    Server and Workstations

    Billing staff education

    Recommended billing education

    NAAC or other EMS Billing accreditation

  • Bringing Billing In-House

    Potential hurdles with In-House billing:

    Staffing

    If you are in a rural area, staffing may not be possible

    Compliance and industry changes Providers will have to upgrade for regulatory changes

    No Billing agency to handle this if In-House

    Software vendors should notify of changes

    Depending on software vendor, upgrades arent free ZOLL provides free upgrades with annual maintenance

    Liability

    Its important to know the rules when doing billing in-house

    Ignorance is not an excuse with Medicare

  • Bringing Billing In-House

    Integrated software provides streamlined efficient solutions

    ZOLL ePCR integrates directly with RescueNetDispatch-Billing

    Reduces data entry and staffing needs

    Reallocate staff to other billing office duties

    Pre-bill eligibility

    Follow-up and Collections

  • ZOLL ePCR Integration

    ZOLL ePCR Direct Integration with Billing enhances documentation

    Closed call rules used in ePCR to ensure all Billing information is captured at the time of the trip

  • Compare Outsourcing to In-House

    Outsource Example: ABC Ambulance (3000 runs p/year)

    3000 Runs x $429 (avg. p/run) = $1.29 M

    @ 6% of 1.29 M = $77,400 cost p/year

    @ 15% of 1.29 M = $193,500 cost p/year

    *Calculations based on earlier assumptions

    In-House Costs: ABC Ambulance (3000 runs p/year)

    3000 Runs x $429 (avg. p/run) = $1.29 M

    1 Biller @ $35K p/year

    IT Staffing

    Hardware Costs

  • What do you mean 6-15% Cost?

    Example: XYZ Ambulance (20,000 runs p/year)

    20,000 Runs x $429 (avg. p/run) = $8.58 M

    @ 6% of 8.58 M = $514,800 cost p/year

    @ 15% of 8.58 M = $1.29 M cost p/year

    *Calculations based on earlier assumptions

    Example: XYZ Ambulance (20,000 runs p/year)

    20,000 Runs x $429 (avg. p/run) = $8.58 M

    20,000 / 4000 = 5 Billers

    5 @ $35,000 = $175K

    IT Staff x 2

    Hardware Server & Workstations

  • So, Outsource or Bill In-House?

    My personal opinion, it depends on staffing capabilities and size of your organization

    Review all possible impacts before deciding

    Check with your software vendor for educational resources

    Each agency is different! Do your research!

    Ask your ZOLL sales representative about the ROI calculator for bringing Billing In-House!

  • Contact Information

    Stacey Bickford, ZOLL Billing Product Manager

    sbickford@zoll.com

    Direct Dial: (303) 801-1068

    ZOLL Support

    support@zoll.com