Background:
The City of Sunrise Fire Rescue Department relies on specialized EMS (Emergency medical Services) billing services to ensure accurate claims processing, regulatory compliance, and efficient revenue collection for ambulance transports. EMS billing is a highly specialized function requiring knowledge of Medicare, Medicaid, commercial insurance, and other payer requirements, as well as applicable federal and state regulations governing ambulance transportation, documentation, reimbursement, and cost reporting.
Digitech EMS Billing LLC f/k/a ADPI/Intermedix has provided these services to the City since 2009, maintaining full integration with City of Sunrise systems and supporting daily operational, financial, and compliance functions. In addition, the Sunrise Fire Rescue Department has been selected by the Centers for Medicare & Medicaid Services (CMS) to analyze collected detail costs, revenue, utilization rates, and operational data to help evaluate the accuracy of Medicare payments under the Ambulance Fee Schedule. This review is currently underway and Digitech has been instrumental in the facilitation of this process. The Fire Rescue Department has been satisfied with the services being provided by Digitech and wishes to continue utilizing their services for EMS Billing.
Historically, the City has piggybacked EMS billing services through the Town of Davie; however, the City of Sunrise has directly negotiated more favorable pricing with Digitech, reducing the EMS Billing Fee from 5.5% to 4.95% and the PEMT Consulting Fee from 10.5% to 9.00%, representing meaningful cost savings while maintaining continuity of service. These fee reductions were confirmed in Digitech’s submitted proposal, which outlines the City-specific pricing structure and service model.
Staff recommends that the City Commission approve Contract No. C-26-01-07-ES for the continued and uninterrupted use of Digitech EMS Billing LLC for EMS billing services, including EMS cost-reporting consulting.
Pursuant to Section 5-173(c)(5) of the Code of Ordinances of the City of Sunrise Florida, the City’s formal bidding procedures are waived for good cause for the reasons set forth in this Agenda Item Request.