Pintler Billing Services• • • • --
EMS Billing Services
Proposal for the
Kalispell Fire
Department
Prepared for:
City of Kalispell
-• •
August18,2025
Dear Chief Hagen and the City of Kalispell/Kalispell Fire Department,
Thank you for considering Pintler Billing Services as your partner in ambulance and
incident response billing, financial reporting, and analytics. We deeply respect the vital
role your department plays in the community and are honored to offer our support.
As EMS billing and compliance grow increasingly complex, our Montana-based team
brings specialized expertise to help you navigate these challenges. By managing your
revenue cycle end-to-end, we enable your agency to focus on the core mission of
emergency response and public safety.
Our services include:
• Full revenue cycle management-from trip review and coding to claim submission,
payment posting, and account closure.
• Patient customer service and support.
• Crew training delivered in-person or virtually.
• Fee schedule and rate development consulting.
• Insurance payer enrollment and re-enrollment assistance.
• Comprehensive reporting and data analysis to strengthen operational oversight.
With over 20 years of experience serving EMS and fire agencies across Montana and the
country, including many of your neighboring departments, we've built a reputation for
accuracy, responsiveness, and results. Our team is highly trained, our systems are secure
and compliant, and our approach is tailored to meet the unique needs of municipal fire
departments.
The following pages contain our proposal in response to your RFP. For clarity and
consistency, we refer to the City of Kalispell/Kalispell Fire Department as COK/KFD
throughout the document.
Thank you for your time, consideration, and for the essential service you provide to your
community.
Sincerely,
1!__4~
Leslie Graves
President, Pintler Billing Services
1-866-340-2505
www.pintlerbillingservices.com
TABLE OF CONTENTS
1) Executive Summary
2) Firm/Individual Profiles
3) Scope of Project
4) General and Technical Requirements
5) Related Experience w/Projects Similar to the Scope
6) References
7) Training
8) Price Proposal
9) Additional Information
1-866-340-2505
www .pintlerbillingservices.com
•
Executive Summary
Pintler Billing Services, LLC is a full-service billing company dedicated to supporting Emergency
Medical Service providers. Ou r goa l is to ma xi m ize y o ur ambul anc e transp o rt and r espo nse
revenue with i n the framework of comp li ance . Our service addresses the entire cycle of revenue
management, beginning with the receipt of a PCR (Patient Care Report), and continuing until
the account is closed. Throughout this process we support our clients by offering training,
analytical and reporting services, and consulting on billing best practices. We also provide
Incident Response billing for Fire Department responses to traffic accident scenes, gas and
other hazardous leaks or spills, and other non-fire/non-EMS responses. Our results-driven
approach consistently delivers above-average industry returns, while ensuring full compliance
with security and privacy standards including robust protection and backup of patient and
billing data.
We are located at 602 Dewey Avenue, Suites 4-6 in the Eureka Professional Building, Eureka,
Montana. We have been billing for EMS agencies since 2005 and currently serve more than fifty
EMS and fire agencies, including most of your neighboring agencies in the Flathead Valley.
Many of our clients are municipal fire departments giving us valuable experience in working
with city and county offices, including participating in regular audits and providing reporting in
a format and schedule particular to the needs of finance office. We also have experience with
transitioning billing from in-house which requires clear and freque'n t communication and
teamwork with your staff. Having spoken with the current excellent billing personnel at
COK/KFD we are confident we can form a strong partnership to aid in navigating this new
venture.
We have a dedicated staff of fifteen team members, including seven NAAC-certified billers, two
Certified Ambulance Compliance Officers and two Certified Ambulance Documentation
Specialists. In the last several years we have seen rapid growth due to the increasing complexity
of ambulance billing combined with the quality reputation we have built on the results we have
obtained for our clients.
We are proud of the processes we have built which, along with the software and tools we have
adopted, have allowed us to continue to serve new clients and preserve capacity for additional
volume with our experienced staff.
The point of contact for this proposal will be:
Leslie Graves, Pres i dent
I es Ii e@ pint I er bi 11 in gs e rv ices. com
Office: 866-340 -2505 Toll-Free OR 406-297-1627
Cell: 406-560-0070
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-• • -
Firm/Individual Profile
The entire staff at Pintler Billing Services work together to provide premium service, and all our
billers are fully NAAC-certified ambulance billers. (See
https://www.ambulancecompliance.com/content/benefits-cac-certification for more detail.)
Tasks such as payment posting, accounts receivables, and payer follow-up are assigned to
individuals with specific expertise within each area.
Leslie Graves, President: Leslie is the founder of Pintler Billing Services. She serves
as the current Secretary for the Montana EMS Association, is a member of the Montana
Ambulance Association, and provides trainings for DPHHS at state conferences. Leslie is the
primary contact for negotiating the terms of our contract, setting a schedule for the initial
on boarding and set up of your billing processes, and is ultimately responsible for the
performance of the Pintler Billing team. Leslie also provides training for your upper-level
management staff and supervisors in best practices of billing for ambulance departments.
Support in fee schedule development, billing policy development,~nd other general activities
will be facilitated by Leslie as needed.
Jodi Paine, Vice President: Jodi, a NAAC Certified Ambulance Coder, Certified
Ambulance Compliance Officer, and a Certified Ambulance Documentation Specialist, has been
billing for over nine years and is a resource for our staff, clients, and vendors alike. She has
worked closely with the State of Montana to improve the accuracy of their databases and
consulted with our vendors to smooth integrations between programs. Jodi also facilitates the
connection to your ePCR software, provides crew trainings for your staff, oversees billers
assigned to your account, and ensures a smooth transition between your office and ours. She is
well-versed in First Due ePCR software and able to provide support and guidance for a~y
questions that your staff may h~ve reg _arding documentation and QA reviews, as well as ' ~ , .,
methods of communication regarding trip reports, documentation and signature requirements,
and general billing processes.
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Josanna Ferguson, Accounts Receivables Supervisor: Josie is a NAAC Certified
Ambulance biller and has been leading our Accounts Receivables team for three years and
supervisors our administrative support team as well. She has a wealth of experience in billing,
navigating communications with payers, and analyzing data to gain insights into trends and
issues. Josie will be your point of contact for any questions related to payments, deposits, credit
card processing, and collections. Josie also supervises our Enrollment Specialist, Mikayla, and
will oversee her work with your team.
Kerrie Tkachyk, Certified Ambulance Compliance Officer: Kerrie is a NAAC certified
biller and Certified Ambulance Compliance Officer with extensive experience with payers and
complex accounts receivables issues. She serves as our primary Compliance Officer and is
responsible for directing our annual Compliance Plan development, scheduling and leading our
monthly compliance meetings, performing audits (both internal ahd as requested by clients),
answering questions regarding compliance (both for our staff and our clients), and for
maintaining and expanding compliance regulation and requirement knowledge and currency.
Kerrie also works closely with our IT department to address cybersecurity and technical
compliance issues and concerns.
Mikayla Goff, Enrollments Specialist: Mikayla facilitates payer enrollments, updates
and transition processes (including Medicare, Medicaid, and others), clearinghouse connection
set-up, and other onboarding activities. She has assisted several new clients through this
transition and will work closely with your office to coordinate actions needed to complete the
implementation phase in preparation for billing.
Once on boarding is completed your team-will be assigned a dedicated contact person on our
staff for communication of any other questions and to ensure a smooth transition to billing as
well as a comprehensive understanding of the processes and tools that are available. We
recommend establishing a bi-weekly meeting between key personnel on your staff and our
team to review any questions or issues that arise and to ensure a successful partnership.
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Scope of Project
Initial billing set-up and timeline:
Upon award of the contract, we will provide you with a Welcome Packet detailing the process
for establishing billing for ambulance transport services. This Packet includes checklists, step-
by-step guidance where applicable, links to videos we have created to aid you in the necessary
actions of set-up, and other valuable information to start the project efficiently and seamlessly.
We will also provide access to our secure web portal where you can quickly and easily send and
receive documents in a HIPAA-compliant manner.
Key aspects of the set-up process include:
• reviewing and confirming COK/KFD financial and billing policies which we will use when
handling various situations with patients and payers. These include, but are not limited
to: Treatment but no transport of a patient, response to a deceased patient, transport
of an active crew member or their family, etc.
• review of COK/KFD fee schedule, including an option for fee schedule development
support, which may extend to Incident Billing if requested, where ambulance transport
is not involved but significant resources are expended by Kalispell Fire Department to
deliver non-EMS services. These reviews will be done in an ongoing manner annually.
• enrollment updates with major payers where required (M,dicare, Medicaid, VA, etc.)
which will be facilitated in partnership with your administrative staff, though our team
will complete these as far as possible on your behalf.
• establish connection with ePCR software.
Implementation Timeline upon Award of Bid (subject to change based on desired start date,
KFD level of preparation to transition, and other factors):
Deliverable/Task Responsible Party Timeline
Introduction of teams and kick-off meeting, confirm Both Within 1 week
responsibilities and communication methods,
identify key personnel
Establish date of service for transition of billing, Both Within 1 week
review roles and expectations and checklists,
establish deadlines for initial tasks
Schedule weekly progress meetings throughout Both Within 1 week
transition period to address chall~nges or
bottlenecks as they occur and ··ensure project
milestones are being met
Establish connection with ePCR system Pintler Billing Within 1 month
w/aid from KFD
Review on boarding checklist and complete tasks Pintler' Billing Within 1-3
months
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Review "Client Welcome" packet and gather KFD Within 1-3
information and complete tasks months
Schedule billing and documentation training session Both Within 1 month
Assess NPI and enrollments with payers Pintler Billing Within 1 month
w/aid from KFD
Review and confirm fee schedule, billing policies, Both Within 1 month
etc., and address any needed updates or changes
Schedule handoff meeting with current billing Both Within 2-3
personnel to finalize transition months
Go live with billing Pintler Billing Within 2-3
w/aid from KFD months
Assess progress and address any issues or concerns Both Ongoing
After the initial set up, the ambulance billing process will be performed as described in the
following steps.
PCR (Patient Care Report)/Trip Report receipt:
A PCR begins with dispatch and the deployment of an ambulance and consists of the entire
episode of patient care beginning with initial contact upon arrival to transfer of care at the
destination. As the core piece of data upon which an ambulance claim is built, complete and
proper documentation within the PCR is required. The responding crew members are
responsible for completion of the PCR and gathering any necessary supporting documentation.
The completed PCR is then reviewed by a member of your staff and upo~ approval, assigned to
us for billing within First Due. This will trigger the export of the PCRs electronically via SFTP
(Secure File Transfer Protocol) from First Due to our system in real time as they are assigned for
billing by your crew/supervisors. Attachments (ex., face sheets, signature forms, etc.) should be
attached to each PCR and will also be exported with the trip report.
Our staff will audit the PCR software (First Due) to ensure all assigned trips have come into our
system, communicating directly with their support staff if errors or omissions are detected. Any
communication from Pintler Billing Services with your PCR vendor (in this case First Due) will
include COK/KFD designated staff members as well.
Pre-Billing:
The billing process begins with a th<?rough review of patient information and verification of
eligibility, coverage, benefits, address,-and other demographic data. We use several tools to
achieve this, including built in software in our revenue management system, contacting the
receiving hospital, on line insurance portals, and our clearinghouse. Ensuring we are sending
claims to the correct payer PRIOR to billing speeds up time to payment, reduces take-back and
payer-initiated refund requests, and enhances your revenue stream.
Page I 5
Each trip report is then reviewed using the established procedures of our organization that
have been developed through education and consultation with experts in the field. Every
member of our billing staff has a NAAC Certification for ambulance billing and has been trained
for proper documentation review (including date of service, timeline entries, mileage,
interventions, required signatures, and complete narratives). Any discrepancies in these items
required for billing will be noted by our billers. Our staff will then communicate with COK/KFD
staff using a pre-determined method that best suits your schedule and staffing. We will support
you through notification of what is missing, referral to educational resources as appropriate,
and follow-up to ensure completion.
PCRs which are complete (ie. trips that need no corrections from your crew, and all required
documents are included with your submission) will be "ready for billing11 within a minimum of 5
business days after receipt, although we frequently accomplish billing within a much faster time
frame. "Ready for billing11 means the claim is ready to submit, although our system monitors
payers for deductibles and will submit claims once the deductible has been satisfied.
Billing:
After the pre-billing steps, we create a claim based on the description of the patient and
treatment rendered, using the fee schedule established by your service and with due
consideration of the applicable federal and state laws. The particular rules enforced by each
insurance company are also noted, and we will request (or assist yb u in requesting)
authorization, submit additional records, and take other required steps as dictated by each
payer. We submit accurate claims to insurance companies according to their required method,
digitally via an electronic clearinghouse whenever possible, though in rare instances, via US mail
or fax.
Patients or facilities will be billed directly for co-payments, deductibles, or uninsured amounts.
We send a colored statement in a windowed envelope with a perforated section for the patient
to tear off and return with their payment in the enclosed return envelope. A message is
included depending on the financial policies of your service (for example, "A 10% discount is
available if payment in full is made within 30 days of receipt.11
). Patient statements also include
a QR code linking to a payment portal, a website address for easy on line payments, and a link to
an FAQ page to assist them in understanding their statements.
Our toll-free office number is published on the statements as a resource for questions. Our
office phones are answered Monday-Friday, 8:00-4:00 MST, except for holidays. Any voicemail
messages received are replied to as so·on -as possible, and never more than one business day
from the time it was left. We also provide a secure web portal link for patients to send us
inquiries, insurance information, release of information documents, and other items covered by
HIPAA regulations which require safe and secure transmission.
Insurance Claims Follow-Up:
Page I 6
Follow-up is vital to a healthy revenue stream, and we methodically follow each claim and
account until the balance is zero.
We monitor claim progress using data, tools within our software, and our experience with
payers to identify when a payment should typically be issued, and we will follow up on any
claims that vary from this pattern. Although some payers do have a lengthier processing time,
we can begin to monitor claim status within 30-60 days of submission. From this research we
can identify common issues, such as a need for records from the hospital, and we will take
action to facilitate payment based on our findings.
If we receive a denial or refund request from an insurance company we will investigate it
thoroughly and represent COK/KFD in pursuing an appeal and/or re-determination requests
where appropriate. This includes completing first, second and third level appeals, as well as
scrutinizing refund requests for accuracy, submitting rebuttals as needed.
In any interactions we have on your behalf, our staff is aware that we are proudly representing
Kalispell Fire Department in these communications. We recognize that an ambulance transport
is usually connected to a personal emergency or a tragedy affecting a loved one, and that these
situations can cause tension and anxiety and anger for patients and their families. We maintain
a compassionate and caring attitude when conversing with your patients and have generally
achieved very positive interactions with this approach. At all times we project a professional
image on behalf of COK/KFD.
Payments -Posting, Deposits, and Reporting:
Payment will be collected via EFT (electronic funds transfer, or direct deposit through ACH, into
your account) whenever possible. We will complete enrollments for this process on your behalf
and provide COK/KFD with accurate and timely reference information to match deposit
amounts to insurance payers and claims. EFT payments will be posted to the patient accounts,
and prompt reports will be provided to COK/KFD designated staff for reconciliation of incoming
funds.
Physical payments will be directed to our US Post Office address as the payment address. Upon
receipt of funds, we will post the payment to the patient's account, scan the check, then
promptly deposit payments directly into your specified account, on a schedule of no less than
twice a week. A digital copy of the checks and deposit slip and the deposit receipt will be sent
simultaneously with the deposit to the designated member(s) of your staff for reconci!iation
and reference purposes.
Payment reports will be provided weekly to your designated staff (Administrative office,
Treasurer's Office, Finance Department, etc.) to support easy reconciliation and tracking for
your team as well as to support audits. These reports will show .EFT payments, credit card
payments, and deposits made physically at the bank. Questions or requests by any member of
City of Kalispell or Kalispell Fire Department staff will be promptly answered and addressed.
Page I 7
• -,.
We will provide recommendations for a credit card vendor and will assist you in setting up an
account for acceptance and processing of patient credit cards, HRA or HSA debit cards,
recurring payments, and ACH direct payments from patients. A hyperlink will be included on
patient statements to allow self-service payment and recurring payment set-up.
Past Due Patient Accounts and Collections:
Pintler Billing Services will provide resources to assist COK/KFD with determination of a vendor
for collections services. We will also provide consulting to assist COK/KFD to develop policies for
dealing with patient accounts that are unresponsive to billing, including presenting options for
various levels of collections activities.
Returned mail will be researched to discover an updated address or to correct any
misinformation we originally received. Often the receiving hosp ital will have updated their
records at this time, and we will work with them and other available resources , including
software partners, to find contact information.
If a patient disputes their bill or expresses a financial hardship or requests a payment plan, we
w ill faci l itate a Financial Assistance Form or similar item as directed according to established
COK/KFD financial policies. Upon receipt of completed forms we will act within the framework
of your fi nancial policies. This action may involve setting up a payment plan, adjusting a portion
of the balance due, or taking another action as dictated by COK/~f:D including presenting these
requests to the Fire Chief or de signated staff member .
If a patient does not respond within the designated time frame outlined in your financial policy
or refuses to make payment or to return a financial assistance form, these delinquent accounts
may be submitted to the chosen collections agency per the financ ial policies of COK/KFD .
Reports detailing this activity will be provided to the designated staff for either determination
or review and confirmation of account progress through th i s stage, according to COK/KFD
financial policy.
Compliance, Back -up, and Reporting:
All actions taken by Pintler Billing Services staff are governed by the requirements of HIPAA
law and other applicable regulations, and our team receives frequent, ongoing training
regarding how to adhere to the requirements while performing their duties. Compliance with
these regulations by our staff is reviewed internally by our CACO (Certified Ambulan.ce
Compliance Officer) on a quarierly bas~s,.
Security and protection of patient data is a primary focus throughout all aspects of our billing
process. We partner with ZOLL Billing to provide our billing software, a cloud-based system
hosted on AWS with state-of-the-art data protections i n place and user security requirements.
Regular back-ups of all data including XML files exported from your system, claims created from
Page I 8
your trip reports, and payment and correspondence documents are performed daily or in real
time in accordance with HIPAA Security rules and regulations.
Accurate and relevant reports are provided on a schedule as requested by COK/KFD. We rely on
your review of reports to ensure oversight and communication about billing progress. Reports
are accessible in several ways:
• Your designated staff will be provided with logon credentials for our system where basic
reports are available on demand.
• Our team is available at any time to create custom reports as needed upon request.
• Monthly reports will be delivered to your designated staff automatically allowing for a
consistent and measurable view of accounts and activity.
o Invoice/Charge list report for month
o Summary of Transactions report for month
o Charges report, both Detail and Summary
o Credits/Payments report, both Detail and Summary
o Aging report, both Detail and Summary (both patient and insurance)
o Separated reports for EMS and Incident billing
o Available reporting based on different geographic areas upon request
o Summary report (beginning balance, charges, credits, forwarding balance)
• Audit reports as needed and upon request. Timely respons'es to requests for reports,
documentation, or any other aspect of audits are provided, and service to your city
employees and auditors is considered an extension of our service to you as a fire
department.
• Analysis of data generated in reports to assist in managing your agency and optimizing
your revenue. (Example: ratio of BLS to ALS transports, payer patterns or concerns with
regard to payment or denial trends, etc.)
Here is an example of the reporting dashboard:
Live Dashboards
Transport Volume Accounts Receivable
~ 0
New Dashboards
9 Charges Payments & Collections Adjustments & Wnte Offs 0 BIiiing Lag
ancl~t,-,.~~~:.,
◄ n.eoc,:<.-.: ~:-~
~ Denials Mig~at1on Repo~ • • l End of Month Reportmg ~
Dashboards Coming Soon
••• Productivity ,,,
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General and Technical Requirements
A connection to your ePCR vendor is required for billing purposes. First Due, your current
vendor for ePCR management, is one of the primary patient care reporting software programs
used by our existing clients. We are very familiar with the First Due company and have good
relationships with the support department as well as the sales department.
Once an agreement is signed for billing services, we will work with designated staff member of
COK/KFD to obtain a User ID for your First Due account. After this is accomplished, we will log in
and update the settings for export of data to send completed trip reports to our system. This
process is streamlined and well-practiced and should take less than a week to complete. We
will work with your team to establish a communication method for any incidents you wish to
bill for that are not EMS. Currently First Due does not have the capability to export non-EMS
reports, so an email with the run number is often used to notify us of an incident that is ready
to bill.
The time requirements for COK/KFD staff with regards to connecting to First Due are minimal
and include setting up a User for us in First Due and supplying us with the log-in credentials.
Our team will then log-in to enter the export settings including endpoints for API transfer of
files and triggering actions within First Due.
Other general technical requirements include access to email, inte'rnet service, and typical
office equipment.
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Related Experience with Projects Similar to the Scope of Services
Pintler Billing Services has been proud to assist several agencies around Montana with the
entire process of establishing ambulance billing from the ground up, starting with developing a
transport billing plan through implementation and ongoing billing. We have also successfully
assisted several fire departments in switching from other billing solutions to ours. These
agencies were already transporting through the local 911 dispatch system and had the
appropriately licensed crew and ambulance vehicles and so the transition was within the billing
department.
Depending on the situation, Pintler Billing Services was able to assist with the required
enrollment updates for payers and associated systems, as well as consultation regarding the
best practices for establishing the fees and policies for billing. We also assisted in projections
for trip volume, collections percentages based on demographics and state-wide averages, and
training crews for billing-related tasks. We have experience working with governments and fire
chiefs to establish billing from conception to full implementation, as well as transitioning billing
to our service.
Following are three clients for whom Pintler Billing Services provides full revenue cycle
management services.
1} Evergreen Fire Rescue, 2015
Chief Craig Williams -Evergreen Fire Rescue, Kalispell
406-752-4636 cwilliams@evergreenfirerescue.net
Assisted the Chief in transitioning billing from prior service, and in preparing billing
documents including financial policies for presentation to the Board. Assisted Chief with
creation of Financial Assistance Form for patients and Financial Hardship policy which
was adopted by the Board. Assisted the Chief in review and update of the transport fee
schedule, enrollment updates with Medicare, Medicaid, and the other major payers.
Assisted the Chief with negotiating a contract with a large hospital system that was
adopted by the Board. Provided training and guidance for leadership regarding crew
responsibilities with use of ePCR systems and billing related tasks. Assisted Chief with
development of Incident Billing (non-EMS response) policies and procedures and fee
schedule.
2) Central Valley Fire District, 2017
Chief Jay Wittwer, Central Valley Fire District, Belgrade . . ,
406-388-4480 jwittwer@centralvalleyfire.com
Provided preliminary consulting services through the exploration phase of billing for
transports. Assisted the Chief in gathering data regarding revenue generation potential
including auditing ePCR data for current transport numbers and researching CMS
utilization data reports to retrieve revenue and billing information regarding the local
Page I 11
private agency. Provided assistance in creating responses to questions and concerns
raised by Board and community members and provided information for reference in the
decision-making process.
Upon approval by the Board, provided guidance and support throughout the fee
schedule creation process. Advised the Board and Chief regarding financial policy
formation and content and creation of a Financial Assistance form. Assisted with initial
enrollment with primary payers (Medicare, Medicaid, VA, etc.) and provided training for
the crew and leadership positions regarding billing requirements, trip report
documentation, and general billing practices.
3) Big Sky Fire Department, 2024
Chief Dustin Tetrault, Big Sky Fire Department, Big Sky
406-995-2100 dtetrault@bigskyfire.org
Provided support and assistance in transitioning from previous billing contractor.
Provided guidance for review and updates of financial and billing policies and fee
schedule for transport charges. Facilitated updates in enrollment with primary payers
(Medicare, Medicaid, VA, etc.) and provided training for the crew and leadership
positions regarding billing requirements, trip report documentation, and general billing
practices. Providing marked improvement in revenue recovery from previous
contractor.
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References
We are proud of our work and happy to have you talk to our current clients. Following are a
couple of additional fire department clients in Montana.
Chief Cody Tocher -Anaconda-Deer Lodge County Ambulance (City Fire Dept)
406-563-2164 ctocher@adlc.us
Chief Eddy Kanduch -Miles City Fire Department
406-874-8650 ekanduch@milescity-mt.org
Chief Rich Cowger, Assistant Chief Nick Jacobs, Columbus Rural Fire District
406-322-4302 rcowger@columbusfirerescue.com njacobs@columbusfirerescue.com
Chief Josh Waldo -Bozeman Fire Department
406-582-2351 jwaldo@bozeman.net
Chief Jeremy Patton -Bigfork Fire District
406-837-4590 jpatton@bigforkfire.com
Chief Damian Frisby -Frenchtown Rural Fire District
406-626-5 791 dfrisby@frenchtownfire.org
Chief Amy Beick-Smith Valley Fire District
406-752-3548 ab@smithvalleyfd.org
Chief Jeremy Jones -Great Falls Fire Rescue
~ 406-727-8070 jjones@greatfallsmt.net
~
Chief Ben DeVall -Big Mountain Fire Department
406-862-3748 bendevall@hotmail.com
Nicole Ness -Montana Medical Transport
406-442-2190 nicole@skyservice.com
Rand Dickson -Powell Emergency Medical Services
406-846-7725 rdickson@dlmed.org
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Training
Training is an important part of our service to you and is provided in several different forms. A
billing and documentation training is required for your crew and staff within the first 30 days of
the contract period. This training is provided by Jodi Paine, a Certified Ambulance Compliance
Officer, Certified Ambulance Documentation Specialist and experienced biller. The time
requirement is typically an hour, and a recording will be made available as a permanent
resource. This training reviews the items on a PCR that are required by law as well as best
practices and tips around billing and using First Due to its fullest capabilities with regards to trip
reports. Your crew will view examples, discuss real-world situations, and will receive a job aid
for future reference . There will be ample opportunity for questions and discussion.
Your crew will also receive regular feedback and focused training as necessary through
discoveries made in our daily review of trip reports. Training on specific items that are missing
or incomplete will be addressed as they present themselves, and depending on your
preference, requests for corrections can be made directly to the crew members involved or to
the manager or Chief.
A separate initial training will be provided to your managing staff and supervisors and will
introduce them to the tools and resources that are available within our company to answer
questions, monitor and reconcile reports with dispatch logs, and ensure quality is maintained.
Fire Chief training is more accurately consulting and is available for all revenue cycle
management related topics, including financial policy and fee schedule r eview and
development, compliance plan currency, review and analysis of reports, and any others as the
need may arise. Guidance on best practices, information on current trends, and tips for
optimizing billing success are delivered on an ongoing basis through our newsletters and
regular emails to our clients.
Additional training is available annually as part of the contract and will focus on general topics
or specific items at your request. Besides this scheduled training, ad hoc training on focused
topics needing improvement or education will be provided at no additional cost. These
additional training sessions can include your entire staff or a few key personnel at your
discretion and will often be scheduled as patterns of errors or questions are identified. We
provide several pre-recorded training sessions for reference on various topics as well.
Page I 14
Price Proposal
We bill on a percentage basis of revenue recovered for COK/KFD. This method is a guarantee to
you because we won't get paid until you do! If your charges from us increase, it is only because
you have received more revenue from our billing efforts. The following rate description
includes the entire suite of services described within this proposal and is based on the following
criteria specific to your agency:
o an estimated trip volume of 6,000 -8,000 trips
o your requirement that each crew member obtain a CADS certification
o Fire Department hierarchical structure of accountability
❖ The rate is 6% of revenue.
o Rate may be reviewed after 6 months to evaluate progress and consider reduction
based on cooperation and timeliness of responses by KFD personnel to billing-
related requests.
❖ There is a one-time initial $1,500 set up fee.
❖ COK/KFD will receive a credit for our percentage of any payments that you receive that
subsequently need to be refunded. In other words, if you have to refund a payer, we will
refund you our percentage as well.
Value of outsourcing EMS billing to Pintler Billing Services:
• You gain a full team of certified professionals, compliance oversight,. reporting, and
consulting.
• Your agency gains multiple subject matter experts in each area of revenue cycle
management and benefits from knowledge gained from work done for other clients.
• Adds in-depth knowledge of the local and statewide billing environment to your team.
• We are true partners in revenue recovery as our financial success is tied to yours.
Additional Information
We will supply a sample service agreement, additional references, answers to any questions or
other information upon request. Thank you for reviewing our proposal and for the opportunity
to serve Kalispell Fire Department. We look forward to hearing from you and working with you
in the future.
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