Billing Processes
The Gilpin Ambulance Authority strives to extend the skill and passion that was received from our Paramedics and EMTs through the billing process. Our billing practices are customer service oriented while maintaining compliance with HIPPA and Medicare regulations.
In determining our fees, we evaluate budgetary requirements in addition to conducting comparison surveys to establish fees competitive with other agencies
There are a number of challenges with any medical billing practice. Strict Medicare requirements prevent a 100% collection rate. Medicare and Medicaid pay based on set allowed amounts that are 20% and 5% of billed charges respectively. After payment is received all but the patient’s responsibility is written off.
We submit standardized claims to insurance companies on behalf of our patients. The insurance company will pay based on the patient’s insurance policy. Any amount remaining after the insurance has paid their portion is the patient’s responsibility.
Gilpin Ambulance has several payment options available and we work with our patients to determine a payment plan that works best with their situation.
We accept cash, check, money orders, as well as credit and debit cards for payment. We also offer a financial assistance program based on CICP guidelines.
Figure 10 (right) shows our top 10 payer resources.