Specifications include, but are not limited to: 1. Administrative Account Set-Up: a. Contractor will complete all necessary provider enrollment paperwork with Medicare and Medicaid to maintain enrollment status with these payers and to update all information to reflect [awarded vendor] as the authorized, exclusive billingservice for the City. b. Contractor will complete all necessary payment authorization forms for Medicare and Medicaid to ensure that these payments are direct deposited into a bank account of the Cities choice, and that all correspondence related to those payments are made available to the Contractor either electronically or forwarded to the Contractor's address. Contractor will also promptly notify all commercial insurance carriers in our billing system that the remittance address for the City has changed to reflect the address of the Contractor. c. Contractor will recommend write-off policies and/or hardship policies for the Cities consideration. The City determines the parameters of write-off and hardship policies, and will determine the amount of approval authority the Contractor will maintain, if any. All write-off and hardship policies should be put in writing by the City and provided to the Contractor prior to beginning work. 2. Technical Account Set-Up: a. Contractor will provide a database for the City within the Contractor's electronic billing software that will accept EMS incident data for the City. Contractor will meet with the City EMS Department officials to determine what information will be added to the database. All City EMS patient care data will be stored on the Contractor's electronic billing software. b. Contractor will conduct training on documentation requirements to all EMTs on all shifts. This training is typically conducted bi-annually, or upon request of the City. 3. Billing and Collections Services a. City isrresponsible for completing each patient care report to the specifications established by the City and Contractor. b. City is responsible to forward all patient care reports to the Wisconsin Ambulance RunDataSystem(WARDS),unless otherwise negotiated prior to the execution of the City, but shall be retained by the Contractor on behalf of the City for a period of seven (7) years after the Agreement expires or is terminated. These records and documents shall be made available to City at any time during this Agreement, or after the expiration or termination of this Agreement, upon written request of City. Prior to the destruction of any records or documents, Contractor must notify City in writing of the proposed destruction, in a manner that reasonably allows City to make a timely request for return of the records and/or documents to the City. 5. Confidentiality a. No reports, information, and/or data given to or prepared or assembled by Contractor under this Agreement shall be made available to any individual or organization by Contractor without the written approval of City. Notwithstanding the above, Contractor may release records to third party, upon having proper consents and following State laws, rules and regulations.
