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20 Delivering the Difference Additional Supplemental Information Addendums Sample Invoices Sample epcr Report Sample Reports Billing

21 Current RFP EMS Questions submitted on April 9,2014 Please confirm the due date for this procurement is 5/16/2014. Yes by 12:00pm, Listed in RFP Why is the contract out to bid at this time? Contract expires June 30,2014, Listed in RFP When is the anticipated contract start date? Listed in RFP Has the current contract gone full term? Yes on June 30,2014 Have all options to extend the current contract been exercised? Yes Who is the incumbent, and how long has the incumbent been providing the requested services? Quick Med Claims three (3) years To what extent will the location of the bidder's proposed location or headquarters have a bearing on any award? None How are fees currently being billed by any incumbent(s), by category, and at what rates? Flat rate (percentage) What estimated or actual dollars were paid last year, last month, or last quarter to any incumbent(s)? Last month was $13,400,The first quarter ofthis yearwas $35,622, 2013 was $140,301 To how many vendors are you seeking to award a contract? One Can you please provide greater details on how proposals will be evaluated and how the selected vendor(s) will be chosen? Listed in RFP Please describe your level of satisfaction with your current vendor(s), if applicable. Excellent What were your annual gross charges last year or for the last 12 months? Listed in RFP What were your annual total adjustments for last year or for the last 12 months? Listed in RFP What were your annual contractual allowance write offs for last year or for the last 12 months? Listed in RFP What were your annual gross collections last year or for the last 12 months? Listed in RFP What were your annual billable transports last year or for the last 12 months? Listed in RFP What are your per-mile ground transport charges? Listed in RFP What are your advanced life support charges? Listed in RFP

22 What are your advanced life support emergency level 1 charges? Listed in RFP What are your basic life support charges? Listed in RFP What are your treatment without transport charges? No charge What is your average per-trip charge? Listed in RFP When were the last changes to your transport rates, and are you considering raising any of the rates currently charged? 1 year ago, when Medicare adjusts its fees Are there any other charges you assess not otherwise covered by our questions? No What percentage of your patients are residents versus non-residents, and do you charge the two groups differently? Unknown -Same rate Do you operate any shared services agreements with any other municipal or county governments in the region and, if so, with whom? Yes, listed in RFP What were your transports per year for life support for last year or for the last 12 months? Listed in RFP What were your transports per year for advanced life support emergency level 1 for last year or for the last 12 months? See attached Charge report 2012 & 2013 What were your transports per year for advanced lifesupport emergency level 2 for last year or for the last 12 months? Charge report 2012 & 2013 What were your transports per year for basic life support for last year or for the last 12 months? Charge report 2012 & 2013 What were your transports per year for basic life support emergency for last year or for the last 12 months? Charge report 2012 & 2013 What were your transports per year for specialty care transport for last year or for the last 12 months? None What were your transports per year for treatment without transport for last year or for the last 12 months? Unable to transport if no transport! What is your payer mix expressed as percentages of 100% billed? Charge report 2012 & 2013 What is your payer remit mix expressed as percentages of 100% of what you typically receive? Charge report 2012 & 2013 What is your average loaded miles per trip? Average works out to 10.5 miles What is your average revenue per call? Listed in RFP

23 Do you have a lockbox provider and, if so, which provider? Yes, BB&T Ifyou have a lockbox provider, willthat provider remain in place as a result of this procurement? Yes Do you have an EPCR provider and, if so, which provider? Yes, emscharts Do you have a collection agency provider and, if so, which provider? CPC Which local hospitals or care facilities typically receive most of your patients? Cleveland Regional Medical Center, Kings Mountain Hospital, and Carolinas Medical Center Questions submitted April 14,2014 In 2013, what was your organization's transport payer mix (percentage) for chargesas follows: a. Medicare b. Medicaid c. Private Insurance d. Self-Pay Added to RFP Questions April 9th, Are all transport vehicles ALS-staffed? Yes (Rescue Squads if they join in the RFP are BLS) 3. What is your anticipated start date if a new vendor is selected? Stated in RFP 4. How do you and/or the current vendor obtain patient demographic and insurance information? Via an electronic PCR and hospital demographic sheets electronically attached to PCR 5. Who is your current EMS billing vendor? Quick Med Claims What percentage of collected revenue does your current vendor charge you for services? 6.95% 6. What are your primary transport hospitals? See above In 2013, what percentage of all transports went to each hospital? These are approximate - Cleveland Regional Medical Center 60%, Kings Mountain Hospital 30%, others 10% 7. What is your average loaded mileage distance? See RFP questions, already answered 8. In Section 1.0 on Page 5, the RFP states that the Cleveland County EMS System includes 4 individual EMS squads. In your current system, is billing for all 4 EMS squads accomplished through one single Medicare provider number? No If not, are all 4 credentialed individually with Medicare? Yes 9. Please provide the following breakdown for your last fiscal year: # of transports for each rescue squad identified in Section 1.0 Rescue Squads will be able to attach to RFP once we establish the RFP (they choose) Gross revenue for each rescue squad identified in Section 1.0 Rescue Squads will be able to attach to RFP once we establish the RFP (they choose)

24 10. In regards to Appendix H, are the identified costs for each required item(s) estimates or actual costs? Estimates 11. What is the purpose of the Sequel Server? CAD cross over/ Mobile Data Terminals/ Response Times, addresses that all go back into PCR What is your current wireless card vendor? Verizon Questions submitted on April 15, Who is the incumbent billing service provider? Quick Med Claims 2. What current hardware & software is utilized to provide billing services? Zoll/emsCharts 3. Is there a specific hardware & software that the County prefers the billing company to utilize? No 4. What hardware (i.e.: toughbooks) will need to be used and how many? See RFP 5 year plan 5. Is a full epcr solution needed or is interfacing the systems sufficient? Interface is fine 6. What rate or percentage is the County currently charged? 6.95% 7. What were the total billable calls in 2013? See attached 8. What were the gross revenues in 2013? See attached 9. What were the net collections in 2013? See attached 10. What was the percentage ofcollections in 2013 (net/gross)? See attached 11. Payer Mix (2013) See attached Medicare: % Medicaid: % Private insurance: % Self-Pay: % Other: % 12. Call Volume Information See attached

25 Non-Emergent Emergency Total 13.Will a lockbox be provided? Yes a. If yes, who will incur charges associated with it? Billing agency b. If a lockbox will not be provided, how will the billing company be notified of the amount ofpayments made and the amount ofdeposits? i.will the County be depositing the payments and checks or remittances? ii. Will copies be sent to the billing company? iii. Will patients send checks to the billing company? 1. If yes, where do you bank? BB&T Lockbox 14. How often and for how long will the Firm need to meet with County personnel? As needed a. May meetings also be held via video or teleconference? Yes 15.How many individuals need to be trained? Current epcr no training needed a. Please state what type oftraining will be needed (i.e.: document training, software/hardware training/compliance training/use ofpcr/medicare training). b. How long/how often will training be needed? c. Are there contractual restrictions in regardsto training? d. How many locations will be needed in order for us to provide training? (i.e.: will there be different sites where training will need to occur, such as multiple rooms or various locations?) e. What is the shift schedule? (i.e.: how many hours per day and how many days for each type oftraining?) 16.Will there be a conference line available for the pre-proposal conference for individuals that are unable to attend in person? No

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