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Burke County moves EMS billing in-house, projects higher collections
Summary
County manager reported the county has transitioned ambulance billing from a vendor model to in‑house operations and projects increased collections for the 2024–25 fiscal year, citing improved revenue per transport and new recovery tools.
Burke County officials said the county has transitioned prehospital ambulance billing from an outside vendor to an in‑house operation and is projecting higher collections in the 2024–25 fiscal year.
County Manager Brian (county manager) told the Board of Commissioners at the Jan. 7 pre‑agenda meeting that the county historically contracted with Emergency Services Management Company (ESMC) and paid a fee (described in the packet as roughly 6 to 7 percent of net collections). He said the county evaluated doing billing in house after seeing flat revenue and a perceived noncompetitive collection percentage with the vendor.
“Today, I'd specifically like to, highlight EMS billing,” Brian said, describing a county review of peer counties that handle…
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