Facts, Features and Benefits
Business PrinciplesThe 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 were developed based upon cost studies. In these proprietary studies, we sampled dozens of police and fire departments budgets across the nation varying in size, fully paid, combination, and volunteer departments. Tiered billing and flat rates are considered arbitrary by many insurance companies 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.