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Caswell County approves updated EMS billing contract and budgets $30,000 for collections handling
Summary
Interim EMS Director Yarborough told commissioners the updated three‑year EMS billing agreement keeps the vendor fee at 6.75% and will provide ruggedized laptops for ambulances; the board approved a $30,000 budget allocation and authorized the contract updates.
The Caswell County Board of Commissioners approved an updated three‑year agreement for EMS billing Feb. 16, keeping the vendor management fee at 6.75% of collections and budgeting $30,000 for billing‑related items.
Interim Emergency Service Director Yarborough described growing call volume and revenue since the 2016 agreement: roughly 3,500 calls and approximately $665,000 in revenue in 2017 compared with more than 4,500 calls and revenue exceeding $1.4 million in calendar year 2025. Yarborough said the vendor (EMSMC) will supply ruggedized laptops for ambulance patient care reports, saving the county roughly $16,986 in up‑front equipment costs.
Yarborough said the updated contract clarifies ambiguous language, adds dispute‑resolution clauses and limits of liability, and has been reviewed by the county attorney and finance officer. Commissioners asked about the percentage of collections that go unpaid and how the vendor handles collections; Yarborough said EMSMC handles collections after 120 days and is responsive to county inquiries.
Commissioner Smith moved and Commissioner Rose seconded a motion to allocate $30,000 in the current fiscal year budget for EMS billing reconciliation; the motion carried by voice vote.
Next step: County staff will finalize the contract edits with the vendor and return executed documents for the public record.
