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DocuSign Envelope ID:8F4640AF-9AC1-4D50-AABB-3D796391 BEAE <br /> October 15,2021 Orange County, North Carolina <br /> EMS System Analysis <br /> RFP No. 367-005329 <br /> Cost of Service Analysis, Rate Studies, and Revenue Enhancement <br /> Since 2006, PCG has been working with the EMS provider community to increase Medicaid reimbursement <br /> for ambulance services. Most notably, PCG assisted the State of Texas with the establishment of the first <br /> EMS Certified Public Expenditure (CPE) Program in the country and subsequently supported the <br /> Commonwealth of Massachusetts with the approval and implementation of an EMS CPE Program in 2013. <br /> More recently, PCG helped providers in Washington, Missouri, Oklahoma, Oregon, Illinois, Iowa, and <br /> Florida to navigate the process of cost reporting, revenue maximization, and audits. In Figure 5, we <br /> highlight our experience in key Ambulance Supplemental Payment Program (ASPP)states. <br /> Leveraging more than 14 years of experience in this arena, we bring vast financial experience as we work <br /> with fire departments and third-service ambulance providers to stand up revenue enhancement programs, <br /> identify reimbursable costs and opportunities for revenue maximization, and complete required annual cost <br /> reports. With our assistance, PCG clients have realized $400 million+ in additional funding. <br /> Massachusetts Ex urllve Office of •Developed and facilitated •Nearly 70 participating <br /> Health&Human Services(EI)i federal approval of State Plan providers in FY17 <br /> appointed PCG to design,obtain Amendment •Generating$31 million to <br /> federal approval,and implement •Conducted outreach and MA providers,S 1.7 million to <br /> the CPE Program facilitated workgroups to inform ECHHS <br /> program development <br /> `' •Created the cost report <br /> s template,web-based reporting <br /> ` system and training materials <br /> In 2006,PCG partnered with •First federally-approved EMS •More than 40 participating <br /> Austin-Travis County EMS and the supplemental payment Providers <br /> State of Texas Health and Human program •Generated nearly S71 million <br /> Services Commission(HHSC)to •Adopted t 1 IS Waiver that for Texas providers In FY17 <br /> develop the Ambulance Supplemental expanded cost settlement to <br /> Payment Program. Medicaid Managed Care and <br /> the Uninsured <br /> �.,�►TEXAS •Customized web-based EMS <br /> cast reporting tool <br /> Florida's Public Emergency Medical •Developed web-based cost •Conducted outreach and <br /> Transportation(PEMT)Certified Public reporting system for Fl. supported more than 40 <br /> ++ Expenditure(C PE)Program was .Conducted comprehensive providers in the first year of <br /> approved for implementation in 2016 review of programmatic the program <br /> components and developed •Generated more than <br /> data request, data review,and million for Florida providid <br /> ers in <br /> QC processes FY17 <br /> The Washington State Health care •Created a web-based cast •Completed FYI and FY17 <br /> Authority(i gained federal reporting tool for data collet- cost reports on behalf of <br /> approval for their Ground Emergency tion,data review,and more than 60 providers in <br /> Medical Transportation(GEMT] enhanced reporting. the programs first.reporting <br /> Program in July 2017. •Shared fiscal impact studies period <br /> withindividual providers to <br /> demonstrate the benefits of <br /> Washington State program participation. <br /> Health Care thority •Developed cost reporting <br /> processes and data analysis <br /> tools to ensure compliance <br /> and revenue maximizalion. <br /> Figure 5:Achievements and Results in Key ASPP States <br /> Medicare Ground Ambulance Data Collection (MGADC) <br /> PCG offers services to reduce the administrative burden of completing the Medicare Ground Ambulance <br /> Data Collection as determined by the Centers for Medicare and Medicaid Services(CMS). All providers will <br /> be selected to participate and complete the MGADC instrument, which involves collecting detailed data <br /> over a 12-month period, analyzing data, and then reporting the required elements. <br /> Our MGADC services include training, cost survey preparation, and compilation of all supporting <br /> documentation as required by CMS, as well as auditing support. This supporting documentation includes <br /> complex billing data, CAD/dispatch reports, annual financial reports, payroll reports, mileage reports, <br /> technician reports, and other relevant financial data. We understand the operations and cost structures of <br /> Public Consulting Group LLC Page 9 <br />