City of Madison, Wisconsin | Legislative Information Center
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File #: 26313    Version: 1 Name: Accepting the ambulance billing study report and authorizing the issuance of a request for proposal to contract ambulance billing with a third-party provider.
Type: Resolution Status: Passed
File created: 5/8/2012 In control: BOARD OF ESTIMATES (ended 4/2017)
On agenda: 6/12/2012 Final action: 6/12/2012
Enactment date: 6/15/2012 Enactment #: RES-12-00413
Title: Accepting the ambulance billing study report and authorizing the issuance of a request for proposal to contract ambulance billing with a third-party provider.
Sponsors: Paul R. Soglin
Attachments: 1. Combined Ambulance report final 5-10-12.pdf
Fiscal Note
The ambulance fee produces $5.2 million in annual gross revenue to the general fund. In response to antiquated software systems and increasingly complex federal health care regulations, the 2012 adopted budget directed that a study team review the ambulance billing system for possible changes. Based on that review, this resolution seeks authorization to issue a request for proposal to contract with a third-party provider for ambulance billing services. It is anticipated that this approach will result in a net $1 million to $2.2 million increase in ambulance fee revenues to the City over the next ten years due to economies of scale, greater expertise and more rapid billing software upgrades.
Title
Accepting the ambulance billing study report and authorizing the issuance of a request for proposal to contract ambulance billing with a third-party provider.
Body
The 2012 Operating Budget created a study group to determine the most efficient and effective means of ambulance billing in response to federal cost reporting and reimbursement requirements. The study group included representatives from the Finance, Information Technology, and Fire Departments, with assistance from Organizational Development and Training staff. The full report, including an Executive Summary, is attached to this resolution.

WHEREAS, the current ambulance billing system software has become increasingly antiquated and cannot be adequately configured to address new reporting requirements and regulations promulgated by state and federal agencies; and

WHEREAS, health care data reporting requirements have also become increasingly complex over the last several years and require a greater level of expertise by staff; and

WHEREAS, the level of complexity and pace of change, along with potential financial and legal liability from non-compliance, requires a greater level of continuous training and expertise than currently available and would necessitate adding a new professional l...

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