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Record #: F2016-32   
Type: Report Status: Placed on File
Intro date: 9/14/2016 Current Controlling Legislative Body:
Final action: 9/14/2016
Title: Inspector General's report regarding Department of Finance Emergency Medical Services Billing Audit
Sponsors: Dept./Agency
Topic: REPORTS - Annual
Attachments: 1. F2016-32.pdf
Office of Inspector General
City of Chicago

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Report of the Office of Inspector General:


Department of Finance Emergency Medical Ser vices Billing A udit


July 2016

866-IG- TIP LINE (866-448-4754) www.chicciaoiiispectorszeneral.uriz

Joseph M. Ferguson Inspector General
City of Chicago

740 N. Sedgwick Street, Suite 200 Chicago, Illinois 60654 Telephone: ( 773) 478-7799 Fax: (773)478-3949

July 20, 2016

To the Mayor, Members of the City Council, City Clerk, City Treasurer, and residents of the City of Chicago:

The City of Chicago Office of Inspector, General (OIG) has completed an audit of the Department of Finance's (DOF) billing for emergency medical services provided by the Chicago Fire Department (CFD).

The objective of this audit was to determine if DOF billed accurately and completely for emergency medical services through its contract with a billing vendor. OIG found that,
DOF billed accurately for emergency ambulance transports but opportunities exist to strengthen its compliance practices;
DOF's billing for emergency ambulance transports was not complete, resulting in an estimated $160,799 of missed fee revenue in 2014;
DOF could increase fee revenue by an estimated $696,594 annually if it expanded the range of City-provided emergency medical services subject to fees; and
DOF could reduce costs by eliminating incentive fees from future contracts or, if the fees are maintained, clarifying how they are awarded.

Based on the audit results, OIG concluded that DOF billed accurately for emergency medical transports, but opportunities exist to increase fee revenue and reduce costs. We recommend that DOF take measures to ensure that it bills completely for all billable transports, and consider expanding the range of services subject to a fee. We also recommend that DOF consider eliminating the incentive fees from its con...

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