Pre-Advertisement Notice for EMS Revenue Billing Services

The City of Atlanta, through the Atlanta Fire Rescue Department, is seeking qualified contractors to provide comprehensive Emergency Medical Services revenue billing and revenue cycle management services via a competitive sealed bid process with a prequalification phase. Interested vendors must demonstrate proven experience in EMS billing, claims processing, invoicing, collections support, reporting, and analytics within public-sector or healthcare environments, and must comply with all applicable federal, state, and local regulations, including HIPAA and CMS billing guidelines. The selected contractor will be responsible for end-to-end revenue cycle operations, including electronic claims submission using HCPCS codes and integration with the ImageTrend ePCR system, denial management, patient billing support, and generation of detailed financial reports such as weekly and monthly revenue summaries, aged accounts receivable, and audit-ready documentation. All services must be performed within the United States, with no subcontracting allowed, and all patient data must be handled in accordance with strict HIPAA standards, including two-tier security access, indefinite retention, and full audit trail functionality. The contractor is prohibited from accepting or retaining any payments, which must be remitted directly to AFRD, and must maintain complete transparency and accessibility of all data for government audit and inspection. The contractor must provide a dedicated account representative for ongoing coordination, participate in mandatory monthly conference calls and quarterly in-person meetings at their own expense, and conduct biannual videoconferences with senior AFRD leadership. Training for EMS personnel on documentation and compliance must be delivered at no cost to the City, including an initial session at least two weeks before billing commences and a follow-up within one month after the first quarter. All customer service functions must be U.S.-based, and systems must support 24/7 access with nightly backups. Performance is measured by strict timelines: claims must be submitted within two business days of data receipt, denial follow-ups initiated within three business days, and patient inquiries responded to within one business day. The evaluation criteria, while not weighted numerically, distinguish between mandatory requirements—without which proposals will be rejected—and desirable enhancements. Pricing is to be submitted using the City’s standardized template, with potential compensation based on a percentage of net cash collections or other City-approved structures. The solicitation, identified as PE-66062-NONST-2026-000000366, was posted on April 23, 2026, with proposals due by May 13, 2026, and a pre-solicitation conference will be