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Select Board hears ambulance billing shortfalls, reviews $317,614 DES grant for a replacement engine
Summary
The board was told Candia billed $236,932 for ambulance runs in 2024 but collected about 57.7% under fee schedules; unpaid balances totaled roughly $18,896. The fire chief also described a $317,614 NH DES reimbursement award for a replacement engine and asked whether the town would pursue the purchase given upfront costs and timing.
The Select Board on Feb. 9 reviewed ambulance billing performance for 2024 and a partial state grant to replace an aging fire engine.
Fire Department leaders told the board the town billed $236,932 for ambulance services in 2024 and collected roughly 57.7% of that amount under prevailing fee schedules; about 34% was reduced by government fee-schedule rules (Medicare, Medicaid and similar), roughly 5% represented patient bad debt after insurance paid and about 3% was uninsured nonpayment. The chief said unpaid ambulance balances totaled about $18,896.
"We lost, as the billing company explains, a little over 34% due to government fee scheduling," the Fire Chief said, adding that roughly 5% of patients left an unpaid balance after…
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