Medical Debt Collections (Ambulance)

Wayne County, New York is seeking proposals for a medical debt collection agency to manage ambulance service debt for the Wayne County Emergency Medical Services (WCEMS) Department. The Request for Proposal (RFP) Number 011-25 solicits a comprehensive medical debt collection service with a contract term of one year and potential for three additional one-year renewals. Key deliverables include processing debt collection in consultation with the county's medical billing company, initiating collection for referred patients, pre-approving all patient communications, maintaining accurate records, and providing monthly reports. The agency must deposit collected revenues into a county-designated bank account and handle all collection costs, including printing, postage, phone charges, and computer system maintenance. Evaluation criteria will likely include the proposed percentage of revenue collection, vendor experience, and compliance with detailed submission requirements. The RFP timeline includes a deadline for questions on 04/10/2025 and proposal submissions due by 04/24/2025. Current billing data indicates 3,849 total billable calls in 2024, with gross charges of $3,350,688 and net payments of $941,029.64, representing a payor mix of 32% Medicare, 23% facility, 19% self-pay, 15% Medicaid, and 11% commercial payors.

The RFP includes specific requirements for vendor qualifications, including a mandatory written sexual harassment prevention policy and annual training compliance with New York State Labor Law. Vendors must complete multiple forms demonstrating background information, references, non-collusion certification, debarment certification, Iran divestment compliance, and lobbying certification. The solicitation does not explicitly mention set-aside designations for disadvantaged enterprises, but requires detailed disclosures about the vendor's business history, including any legal challenges, suspensions, or significant business-related incidents within the past five years. Vendors must propose a percentage-based revenue collection model, with the option to submit either a fixed rate for four years or variable rates per year. While a specific budget range is not directly stated, the gross charges of $3,350,688 suggest a potentially significant revenue recovery opportunity. The RFP requires vendors to provide a nationwide toll-free number for patient inquiries and demonstrate capability to handle ambulance service debt collection across various service levels, including BLS Emergency ($700), ALS 1 Emergency ($1,000), and ALS 2 services ($1,500).