 |
 |
Cost
recovery for Non-Profit Agencies |
 |
|
|
Each year, Volunteer Rescue Squads (VRS) leave millions of dollars
of unclaimed money with the insurance companies. In addition,
millions of tax dollars, paid by local residents, continue to fund
Medicare and Medicaid insurance programs every year. These programs were
intended
to reimburse VRS for services. Unfortunately, most Volunteer Rescue
Squads never receive a penny from the insurance companies or the government
programs
because they never filed the claims.
Today, EMS Management & Consultants, Inc. is helping many VRSs collect
unclaimed money. This money is now being used for new vehicles,
ambulance repairs, base renovations, equipment purchases and communication
upgrades. Unclaimed money is now being put to good use to improve
the quality of pre-hospital care. Unfortunately, hundreds of squads
across the US will leave millions more unclaimed in the years to
come.
Why Billing for VRS is Important…
1. Maintaining an adequately
equipped ambulance service is becoming more and more expensive.
Where will the needed money come from? Tax payers, solicitations?
Or from the insurance companies that collect millions of dollars
in premiums each month and have already agreed to pay for your services.
2. More and more calls come from patients
living outside of the community. Many motor vehicle accidents involve patients that are not living in the community and are non-supporters.
3. If an EMS service does not bill for
service, many will use them as a transportation of convenience. That
is, an ambulance wasn't really medically required and some other
means of transportation would have been adequate. The temptation is great
to call for
a free ambulance and avoid the cost of alternative transportation.
4. A properly run outsourced
billing department does not cost your supporters any money. In fact
it saves them thousands of dollars. Most of your residents
have Medicare, Medicaid or commercial insurance such as Blue Cross.
Motor vehicle accidents are covered by automobile insurance (auto
med pay) and industrial injuries are covered by mandated Worker's
Compensation programs.
5. If you average only 500 calls per year,
and collect an average of $200 per claim, you will realize $100,000.00 per
year in cost recovery. This takes into consideration that some claims will be paid in full while
others will not be paid at all. How many hours in fundraisers, solicitations
and mailings would it take to raise that amount? How much needed equipment
does that represent? How much future tax dollar savings does that represent?
Collecting $100,000.00 per year for 10 years would amount to one million dollars
in third party revenue.
6. Billing is a service to your community. It lowers the demands on your supporters and raises the quality of service. Volunteers can now spend more time on providing care and less time asking for money.
7. In most communities, the majority
of the residents are covered by some type of insurance. Most insurance policies cover and pay for ambulance service.
8. Subscription & Membership
plans can be a great source of funding. Most VRSs offer residents
a subscription plan to their service in exchange for a small upfront
fee. When a member or subscriber utilizes your services, they are
not billed for the co-pay, deductible or any portion not covered
by insurance. In fact, even if they are not covered by an insurance
plan, their current membership status ensures they will never receive
a bill for any amount!
|
|
|
 |
|
|
|
|
|
|
|
Volunteer Fire/EMS/Rescue Squads |
|
|
|
|
|
|
|
| Each year, Volunteer Rescue Squads
(VRS) leave hundreds of millions of dollars of... |
|
| More
Info |
|
|
|
|
|
|
City/County EMS Departments |
|
|
|
|
|
|
|
| Publicly supported EMS systems
are most often a department of the city town or county and
fall under the... |
|
| More Info |
|
|
|
|
|
|
Private Ambulance Providers |
|
|
|
|
|
|
|
| Your business relies heavily on
your ability to maintain cash flow and reimbursements... |
|
| More
Info |
|
|
|
|