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Town plans EMR switch to boost ambulance insurance recovery
Summary
Board discussed switching ambulance billing from a call-based to EMR-based system (planned Jan. 1) to improve insurance recovery after 2024 collections lagged; town expects to increase recovered revenue but cautioned timing and payment variance make revenue projections uncertain.
Officials said ambulance insurance recovery is below where the town had hoped for 2024; the presenter reported sizeable year-to-year variation and said the town is shifting billing practices to improve collections. The chair noted the town "ended with getting between Jay and Blackhawk, just shy of 300,000 in insurance recovery" in 2023 and that 2024 is behind the planned pace.
To address that, the ambulance provider and town staff plan to move to an electronic medical-record/PCR system (EMR) on Jan. 1 so staff can track calls and third-party reimbursements more closely and shift recovery from a call-based payment model to percentage-based EMR billing. Board members agreed the change is likely to improve year-end revenue but emphasized that timing of large payments makes near-term projections uncertain.
