What is revenue recovery and why did the City of Poquoson implement this program?

Revenue recovery is the process of obtaining financial reimbursement for the cost of providing medically necessary ambulance services. Medicaid, Medicare, and the majority of other private insurance policies (health, auto, and/or homeowners) allow for reimbursement for this service. As the need for additional emergency responders increases, local governments have sought ways to pay for these services without raising property taxes. Many other local governments in Virginia have found that billing Medicaid, Medicare and private insurance for ambulance transport service has resulted in a large amount of revenue being recovered to help defray the cost of the service. The availability of such revenues led the City of Poquoson to join the more than 40 cities, counties and towns in Virginia which currently have such a system.

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1. What is revenue recovery and why did the City of Poquoson implement this program?
2. What are the charges for emergency medical services?
3. Who do I call if I have a question regarding billing or insurance coverage?
4. What happens if I do not have insurance or cannot afford to pay for this service ?
5. What if my insurance company will not cover my ambulance transport bill?
6. If a resident has reached an insurance limit for the year and additional services are required, will the citizen receive a bill for these additional services, or can the fee be waived?
7. Can the billing company be directed not to send uncollected debts to a collection agency?
8. Has this issue been resolved so the City will waive out-of-pocket expenses related to revenue recovery if they meet the criteria?
9. Some residents have expressed concern that some people will hesitate in calling for assistance from the EMS crews when they have an emergency.
10. Will I have to pay for services if the ambulance does not transport me?
11. How does the City spend the funds that are generated by this program?
12. Have donations to the volunteer agencies decreased?
13. If I do not have health insurance, are there other options that could be utilized to collect any fees that might be charged?
14. How does the billing process work?
15. Will visitors and non-City residents be charged a co-payment?