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Rowlett fire chief explains ambulance billing, payer mix and options to adjust nonresident fees
Summary
Chief Gauthier reviewed Rowlett's ambulance billing practices, noting the city has not updated fees since 2014, uses Emergicon for third‑party collections (about 45% collection rate), and that Medicare/Medicaid payment caps limit recoverable revenue; council asked for analysis of raising nonresident or ancillary fees within regulatory caps.
Chief Gauthier presented a review of the city’s ambulance billing procedures and fee schedule, which the chief said has remained largely unchanged since 2014. He described the city’s billing categories (BLS, ALS‑1, ALS‑2), ancillary charges such as oxygen and mileage, and said the third‑party vendor Emergicon has produced a collection rate near 45 percent — above industry norms…
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