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Burke County moves EMS billing in-house, projects $6.9 million in collections through June
Summary
County manager outlined a shift from an outside billing contractor to in-house EMS collections, reporting higher revenue per bill and a projected $6.9 million in collections for fiscal year 2024–25; implementation includes contract renegotiations with hospitals and use of debt setoff tools.
County Manager (name not specified) told the Burke County Board of Commissioners on Jan. 7 that the county has transitioned EMS transport billing from a private vendor to an in-house operation and is projecting $6,900,000 in collections through June 30, 2025.
The county manager said the shift followed an internal review showing “flattened” revenues under the prior contractor and a belief that in-house billing could increase collections and control costs. He said the county historically shared about 6–7% of net collections with the vendor and believed collection performance could improve by bringing the service under county control.
The manager described the change as part of a larger…
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