318-22 Exhibit A-Coronis Health for Emergency Transport Third Party Billing - 2022.pdf

e confident that should the Township of West Orange select Coronis Health as their new Ambulance billing and collections service provider, you could expect to experience increased collection rates per transport.

C@)RONIS — HEALTH - WE REGULARLY PROVIDE CONSULTING ON REIMBURSEMENT AND CHARGE MASTER RATES. Coronis Health works closely with each of our clients to assist them with optimizing their chargemaster rates to insure they are charging the maximum fees acceptable for their geographic zone. On an annual basis, we consult with clients to establish a review of their chargemaster as it compares to peer operations and to optimize insurance carrier reimbursements. We also assist our emergency EMS clients to negotiate in-network agreements with insurance carriers as deemed expedient. It is not unusual to discover that our clients often fail to analyze their rates on a consistent basis, causing them to charge rated under the UCR rates their peers are charging. We place a major focus in monitoring average revenue per transport and we work diligently to improve upon top line gross revenue. WE MONITOR INDUSTRY ISSUES. Coronis Health prides itself on being at the forefront of information when it comes to industry trends and developments. We monitor changes in regulations and closely watch for any circumstances that may affect ambulance billing services, to include changes in rates of Medicare and Medicaid reimbursement and reporting requirements. We have an internal legal team and also work with expert outside legal counsel to ensure full compliance with changes that may arise. We also communicate any such changes to our clients, and insure everyone adapts procedures necessary to conform to new regulations. We also offer, as part of our reimbursement rate, consulting services and recommendations to assist clients to meet industry best practices and improve revenue generation, customer service and all other key areas of performance. WE USE A HIGHLY SECURE CLOUD DATA STORAGE PLATFORM. The billing software utilized by Coronis Health employs Dimension Data Managed Cloud Platform to ensure that our client’s data is stored behind a multi-layer security system. The system performs 24x7 security monitoring, ensuring all systems are protected by multiple layers of security including intrusion prevention and denial of service protection. Penetration tests are also performed against the system by external testing firms to ensure that there are no remotely exploitable vulnerabilities. The cloud network is a physical layer-2 VLAN created as a security context on a Cisco switch

inst the system by external testing firms to ensure that there are no remotely exploitable vulnerabilities. The cloud network is a physical layer-2 VLAN created as a security context on a Cisco switch infrastructure. Lastly, the cloud storage platform is regularly audited for compliance with SSAE-16 and European Safe Harbour requirements. In short, Coronis Health represents that your data is secure with us. WE UTILIZE STATE-OF-THE-ART TECHNOLOGY FOR ALL ELECTRONIC INTERFACE. Coronis Health currently interfaces with all EMS ePCR companies, to include EMS Charts, ESO, Safety Pad, Image Trend, Zoll, Emergency Reporting, Firehouse Software and others. We utilize customized dashboards to interface directly with clients, which would allow the Township of West Orange the real time opportunity to monitor performance and review A/R status reports.

C@RONIS HEALTH WE ARE EXPERTS IN MEDICAL CODING, DIAGNOSIS, AND MEDICAL NECESSITY. Coronis Health employs only CAC’s (Certified Ambulance Coders) for our billing staff. Additionally, our Director of Revenue Cycle Management is certified in CACO (Certified Ambulance Compliance Officer) and CAPO (Certified Ambulance Privacy Officer). We also have an internal Medical Necessity Audit team that reviews all Medicare claims prior to submission ensuring full compliance with CMS regulations. Our billers are experts in managing EPCR claims as stored in our database and they perform all medical diagnostic coding using ICD-10 coding and CPT coding. We also have the ability to manually enter a PCR into our database in the event an EPCR is unable to be uploaded electronically. WE MAINTAIN HIGH HIPAA COMPLIANCE STANDARDS. Coronis Health takes HIPAA Compliance extremely seriously. We have established a comprehensive employee training program as an essential step toward achieving HIPAA compliance. We focus on wide-ranging yearly HIPAA training seminars as well as abbreviated monthly HIPAA reminder meetings to keep employees informed of security risks and threats to PHI and ePHI. Our HIPAA Privacy and Security Officer works hand in hand with both our Human Resources and IT Departments to develop training programs that instruct employees on how to avoid breaches in compliance and maintain common security safeguards. Training is maintained on a regular basis and includes orientation sessions for new employees as needed. WE ABIDE BY THE HIGHEST ETHICAL AND COMPLIANCE STANDARDS IN THE INDUSTRY. When it comes to integrity and compliance, Coronis Health never accepts compromise. While our collectors work hard each day for our customers, it is imperative that they maintain the highest standard of legal ethics and conduct when it comes to the collection of debt and communications with debtors with respect to that debt. When dealing protected data during collections, Coronis Health strictly follows their HIPAA Policies and Procedures to ensure no PHI or ePHI is ever compromised. Should Coronis Health be awarded this contract, we represent that we will strictly comply with all legal requirements and codes of conduct with respect to collection of debts and communication with debtors made or issued by any governmental agency in any jurisdiction, to include but not limited to: e Fair

quirements and codes of conduct with respect to collection of debts and communication with debtors made or issued by any governmental agency in any jurisdiction, to include but not limited to: e Fair Debt Collection Practices Act overseen by the New Jersey Department of Community Affairs e Consumer Credit Protection Act

C&@)RONIS — HEALTH WE EXCEL AT CUSTOMER SERVICE VIA A RELIABLE AND SECURE PHONE SYSTEM. Coronis Health employs the most reliable VoIP phone system available to ensure that both clients and patients will always be able to contact us. With datacenter redundancy, failover, disaster recovery and virtual PBX (Private Branch Exchange), we assure our customers that our call center is always up and running. Along with this reliability comes added security. When it comes to your voice and message data, Coronis Health has insured that advanced encryption techniques have been installed throughout our phone system that fully prevent unauthorized access to secure transfers and connections. WE EMPHASIZE QUALITY ASSURANCE AND CONTINUOUS TRAINING. Quality Assurance and training is another intense focus of our upper management team. We continuously work to measure and improve our internal quality metrics and meet with staff members regularly to notify and make improvements as necessary. Coronis Health also provides training to our customers at no cost. We offer billing educational programs, front-end crew documentation training, HIPAA compliance training, EMS practice management, Medicaid and Medicare medical necessity requirements training, operational and clinical advice as well as public relations training. All these training programs would be made available to the Township of West Orange staff as needed and requested. CLIENT RELATIONSHIP AND TRANSITION. The staff at Coronis Health takes pride in developing close working relationships with all our clients and should we have the privilege of being awarded the Township of West Orange contract, we anticipate working with the City to ensure an orderly transition of responsibilities from them to Coronis Health. We envision fostering a professional relationship that continues long after the initial implementation as we work hard to gain the trust of the Township of West Orange.

C@RONIS HEALTH CAPACITY TO PERFORM SERVICES WE HAVE A STREAMLINED AND EFFICIENT ELECTRONIC CLAIMS PROCESSING MODEL. With decades of experience in ambulance billing services, Coronis Health’s upper management has developed a proprietary and streamlined claims processing model that efficiently and effectively manages hundreds of thousands of medical claims for our customers. For example, with only 65 employees, we process 350,000 claims per year. The difference is our efficiency and drive. We work hard for clients. A brief overview of our EMS claims processing model is as follows: e@ Pre-Billing Function: We begin with a robust pre-billing function that makes sure we get the correct insurance information to create an initial clean claim the first time around. When insurance isn’t provided by the patient, we investigate and exhaust all measures to find insurance information whenever possible. 85% of the time, our highly skilled pre- billers find missing insurance information, allowing a clean claim to be sent out as quickly as possible. Traditionally when the patient doesn’t provide insurance information, the provider sends out an RFI (Request for Information) and invoice to the patient then awaits a response, which creates weeks of delay in sending out a clean claim. Coronis Health is different. We hustle for our clients to find the insurance on our own using available databases that enable us to send out clean claims quickly and efficiently. e@ Signatures: We ensure all proper signatures are obtained as required by CMS as well as independent insurance carriers. e Coding: Our Certified Ambulance Coders ensure all claims are properly reviewed and coded with the appropriate ICD-10 codes for each diagnosis. e@ Technology: We use a dedicated dashboard for each client that allows them to constantly monitor our performance in real-time. e@ Training: We train our staff as well as client staff in industry trends and compliance issues. e Collections: Our focus on optimizing per transport revenue is the single most important function Coronis Health employs for our clients. Our collectors search for primary and secondary insurance and communicate regularly with patients to assist them in receiving the insurance benefits they have paid for and deserve. e@ Compliance: We promote a culture of strict compliance with CMS, HIPAA, Office of Inspector General and

h patients to assist them in receiving the insurance benefits they have paid for and deserve. e@ Compliance: We promote a culture of strict compliance with CMS, HIPAA, Office of Inspector General and Medical Necessity as well as reducing RAC Audit Liability. 10

C@RONIS HEALTH VERIFICATION / PRE-BILLIN At Coronis Health, each claim is evaluated by a pre-billing staff for completion and accuracy. All patient and insurance information are verified prior to data entry to decrease claim rejection. All mandatory provider information is checked for completion to assure that the claim is ready to be submitted. At this first step of quality assurance, the pre-billing staff will research and obtain any additional information required to enable each claim to move to the next stage of completion. Over 90% of all claims are released from Pre-billing within two business days of receipt. The Pre- billing department must submit an administrative report of any claim that is unable to be billed within 3 business days of receipt. Any claim not deemed suitable for billing within 5 business days is turned over to supervisory personnel for further action, which may include return to the provider for additional information. Procedure steps as follows: Upon receipt of the patient information, Coronis Health shall utilize standard skip tracing techniques to verify the authenticity of the patient’s demographics and whether he/ she has provided a release to obtain medical and insurance information. The release to obtain medical and insurance information will be verified by the signature of the patient on the PCR, signature of a department employee confirming patient’s approval, or signature of the patient’s relative. The signature signifies the release of medical information required for billing. If applicable, the signature is included on the database provided by the department. Skip tracing and/or information acquisition shall utilize standard review procedures including but not limited to: Direct access to local hospitals @ Passport Health Communications Inc. Direct access to computerized databases of major HMO companies and hospitals Choice Point Person Locator/ Reverse Directory through search engines and other patient locator websites. @ Coronis Health’s current patient database (CentralSquare Technologies) The information is generally furnished on the EMS Billing Information Sheet and is attached to the copy of the PCR or E-PCR. Some hospitals also furnish this information in computerized format. Due to Coronis Health's high standards of work and ethics, many relationships have been established affording our organization

PCR. Some hospitals also furnish this information in computerized format. Due to Coronis Health's high standards of work and ethics, many relationships have been established affording our organization direct access to the main billing systems of major hospitals and entities. These features enable us to ensure the verification of gathered information, as well as a venue for the retrieval of pertinent information required in the billing process. 11