Facts, Features and BenefitsBusiness Principles
The following information describes how we do business and will help you determine if your particular set of circumstances will benefit from our services.
COST RECOVERY CORPORATION'S (CRC) PROTOCOL AND PROCESS MIRRORS THE MANDATES PUT IN PLACE BY THE FEDERAL GOVERNMENT AND OFFICE OF INSPECTOR GENERAL, AS RELATED TO EMS BILLING
You must have an ordinance or resolution in place to assess service fees. The ordinance should express the genesis of the law.
Specific protocol and policies are adopted by way of resolution.
Fees are based on time and materials and assessed according to actual costs that are usual, customary and reasonable rates. Flat rates and tiered billing is considered arbitrary by insurance and often denied.
Claims are generated according to your existing reporting. No additional forms, equipment or software are required.
Claims are filed to the "at-fault" party only. The Federal Government established strict compliance rules relative to who was billed by the Fire Department EMS. It is considered fraudulent to bill outside the true user of service. Further, billing outside of the "at-fault" party creates negative public relations.
At-fault drivers without insurance are billed directly.
There is no out of pocket cost to residents. Similar to EMS billing, the Federal Government mandated that regardless of residency, the "user" would be billed to avoid discrimination. However, if the "user" or "at-fault party" is a resident and insurance declines payment, it is written off as allowed by the Office of Inspector General in 2000. The Federal Government views tax dollars similar to a co-pay. NON-residents are to be held financially accountable considering they do not support services in the area in which services were provided to them.
All follow up with insurance companies and/or the responsible party is handled by CRC.
All payments received are placed in a trust lock box account.
Payment and month end reporting is submitted within 14 business days.
There are NO start-up fees and no software is required. CRC is only paid when successful in recovering funds for tlte client.
A Service Contract/Business Associates Agreement is required in order to establish CRC as administrative agent acting on the departments' behalf. This affords CRC immediate access to reporting. A contract also establishes proof of CRC's compliance with HIPAA as well as state mandated privacy laws.
We encourage and assist in developing a press release to educate your
residents of the protocol and program benefits.