Provision of third party emergency medical billing and collection services

The Township of Toms River, located in Ocean County, New Jersey, is soliciting proposals for third-party emergency medical billing and collection services for its municipal ambulance service and up to four volunteer first aid squads. The procurement seeks a contractor to manage comprehensive billing and collection processes for emergency medical service transports, with a specific focus on electronic billing, HIPAA compliance, and customer service capabilities. The current transport fee structure includes an $800 base rate per transport, which covers dispatching two emergency medical technicians, basic life support services, and transportation, plus $18 per mile. Proposals will be evaluated using a weighted criteria of 30% technical factors, 50% management criteria, and 20% cost considerations. The solicitation was released on May 10, 2024, with proposals due on June 4, 2024, at 11:00 am, and the initial contract period is set for twenty-four consecutive months starting June 29, 2024, with potential extensions of up to two additional one-year terms or one two-year term.

The procurement does not specify explicit set-aside designations or restrictions on respondent types. The township currently experiences approximately 9,800 total transports annually, with a payer mix of 75% Medicare, 1% Medicaid, 23% commercial insurance, and 1% self-pay. The successful vendor will be responsible for all billing-related expenses, including forms, reports, telephone lines, and postage, and must provide comprehensive monthly and quarterly reporting. While specific budget ranges are not explicitly stated, the volume of annual transports suggests a potentially significant contract value. The vendor must provide a toll-free telephone number for patient inquiries and demonstrate the capability to handle billing electronically while maintaining strict patient data privacy and compliance standards. No incumbent vendor information is provided in the available documentation, and no specific technology integration requirements beyond electronic billing and HIPAA compliance are mentioned.