Logan county EMS ambulance service billing and debt recovery services

Logan County, Colorado is seeking a professional contractor to provide comprehensive ambulance service billing and debt recovery services through a Request for Proposal (RFP) issued on March 14, 2025. The primary objectives include improving cost-effectiveness, enhancing collection rates, and optimizing debt recovery for the Logan County Ambulance Service, which handles approximately 2,700 to 3,000 annual calls. The selected contractor will be responsible for electronic billing, interfacing with Image Trend software, providing comprehensive reporting and collection services, and managing billing for various medical transport services including ALS Emergent ($2,000), ALS2 ($2,500), and BLS Non-Emergent Transfer ($1,250), with a per-mile rate of $35. The RFP seeks a one-year contract with four automatic one-year renewal options, with proposals due by April 11, 2025, and an anticipated contract award within a month of proposal opening on 4/15/2025. Evaluation will likely consider the contractor's ability to improve upon the current billing performance, which in 2023 showed $2,290,681 in total billings with only $866,700 collected, representing an average revenue of $530 per transport.

The solicitation includes provisions for potential 5% preference to local businesses defined as those maintaining a physical place of business in Logan County. The RFP encourages subcontracting with minority-owned, women-owned, or disadvantaged businesses, as referenced in paragraph 8 of the General Instructions. The incumbent vendor is Wakefield & Associates, who have provided services since 2011 and currently operate 4 transport vehicles with advanced life support capabilities, completing 738 transports in the last 12 months. The current payer remit mix is 8.25%, with patient destinations primarily at Sterling Regional Medical Center. The billing environment shows a complex payer mix, including 49% Medicare, 30% Medicaid, 17% Commercial Insurance, and 5% private pay. While specific budget ranges are not explicitly stated, the historical billing data suggests potential annual contract values in the range of $2-2.5 million, with expectations for significant improvements in collection rates and overall billing efficiency.