EMS Billing

ems-billingAthens County Emergency Medical Services contracts with MEDICOUNT in Cincinnati, Ohio for computerized patient care record maintenance and ambulance billing services.

If you have a question about an EMS bill, call Medicount at 1-888-410-6986. Medicount also maintains an email account for billing inquiries at ptrelations@medicount.com.

Ambulance bills not paid in a timely fashion are referred to the Ohio Attorney General's office for collections.  If you are disputing an EMS bill sent to collections, call our office at (740) 764-4051 and ask for Assistant Chief Amber Pyle. You can also email apyle@acems.org.

Athens County EMS does not participate in “preferred provider” contracts with private insurance companies, where we agree to accept less than the amount of our bill in return for a rapid reimbursement. These arrangements only benefit the insurance companies. Our billable fees reflect 100% of the dollar amount due for our services. All reasonable efforts will be made to bill and collect from third party payers but the patient is ultimately responsible for any amount of the ambulance bill not paid by private insurance.

If your insurance company mails you a check to cover payment on an EMS call, it is important to forward that payment on to Medicount, even if its only a partial payment on your ambulance bill. Cashing the check and spending it on other expenses may constitute insurance fraud and may result in loss of insurance coverage and/or charges for recovery through the court system.

Please note that Athens County EMS does not maintain patient care records or billing information at our Central Administration Offices or at any of our EMS stations.

Frequently Asked Questions About Billing

"Why does EMS bill for services?  Why isn’t your service free?"

Athens County has several smaller property tax levies that cover about half of the operating expenses for Emergency Medical Services.  Patient billing is used to cover the other half.  With this system, property owners who may never use EMS aren’t stuck paying 100% of the bill, and the patients who need and use EMS aren’t charged exceptionally high rates to cover 100% of our operating expenses. Providing a high quality paramedic-level EMS system that operates 24 hours a day costs a significant amount of money. Dividing the costs between property owners and users of the system’s resources is the fairest way to insure that EMS is available and always ready to go when needed.  Athens County EMS does not receive any money from the county’s General Fund or from any sales tax.

"Do you charge for non-transports?"

In some cases we do.  A non-transport fee is charged when EMS crews are summoned to assist, evaluate, or treat a patient but transport to a hospital is either refused or is not necessary.  We do not charge for third-party calls (such as a traffic crash) where a passer-by calls 9-1-1 to report the incident  and no one involved in the crash is injured or requested EMS. We DO charge for "lifting assistance" calls when the patient does not want transported to the hospital.

"Do you accept Medicare and my health insurance?"

Yes.  Contact Medicount at 1-888-410-6986 in the event your third party payers were not contacted before you were billed.  Have your account numbers, insurance cards and policy numbers ready.  Many of these billing issues can be handled quickly over the phone.  Payment plans may be available for any outstanding balances.

"What if I want to dispute or question the charges on my bill?"

Contact Medicount at 1-888-410-6986.  Have your account number and other pertinent information available.  The representatives are very helpful in helping identify the origin of certain charges and they can assist in getting third party billing (such as Medicare, Medicaid, Workers Compensation, and private health insurance carriers) set up to pay on your account. Payment plans may be available for any outstanding balances.

"My account has been turned over to a collections agency. How do I resolve this?"

Our contracted collections agent is CBCS National. They can be reached (toll-free) at 1-888-281-4491. Once an account is in the collections process, all mediation efforts are handled by agents of CBCS National. Do not call Medicount about collections issues.

Effective September 1, 2019, the Ohio Attorney General's Office serves as a collection agent for past due EMS bills. If you received official paperwork from the Ohio Attorney General, please follow the instructions in the documents about paying your bill. If you have questions, please use the point of contact listed in the paperwork.