You need revenue.
You need a plan.
Let us guide you through those first steps to identify where the costs lie and from where the revenue will flow. We will define alternatives, review various industry practices and local perspectives, and consider both strengths and opportunities in existing systems. We will help you put in place sustainable and defensible revenue streams through Federal or State grant reimbursements, inter-fund transfers, and comprehensive fee programs. We use this “financial road map” in our approach to every project.
We provide sage analysis in the form of an Overhead Cost Allocation Plan, which distributes the general governmental and support services costs of a city, county or special district to the direct services and activities provided to the public. We prepare plans for local agencies that comply with federal regulations, known as Title 2 CFR Part 200 (formerly known as OMB A-87), for purposes of audit and/or reimbursement. In addition, these plans are used for optimal budgeting purposes and intended for use for many forms of cost recovery efforts.
Development Impact Fees (DIF) are a one-time fee imposed to generate funds for the new or expanded infrastructure required because of development, whether commercial or residential. They are not to be used for ongoing operations and maintenance needs. We help local governments to identify the areas where such fees are needed, discuss the policy aims, and develop the rigorous study to justify such fees.
A Fee Study identifies the full costs of service eligible for recovery from fees and translates those costs into a workable fee structure for various programs and/or services. The full costs of service are derived for each service or activity and, in most cases, is first expressed as a fully burdened hourly rate applicable to the time necessary to perform the service or activity. It is important to have a strong overall understanding of an agency’s cost structure before designing these fees, and then to have a dialogue about cost recovery policies for them. We guide public agencies through these processes with upfront discussions, in-depth analysis and recommendations.
Emergency Medical Services (EMS) cost recovery programs are designed to offset the expenses incurred in delivering emergency medical services.
Ground Emergency Medical Transportation services (GEMT) reimbursement is designed to provide supplemental payments to qualifying EMS providers for the cost of providing ground emergency medical transportation to Medicaid beneficiaries. GEMT comes in a variety of forms, depending on the pertinent State regulations (State Plan Amendment, or “SPA”) and changing Federal guidelines. Another form of GEMT, known as Supplemental Emergency Medical Transportation (SEMT), considers ground, air, and water ambulance support for cost recovery.
Our team has worked for agencies of all sizes in many states across the country, helping to recover millions of dollars in direct costs and appropriate overhead. We have more than a decade of experience, since the inception of many of these programs, working with ambulance services organizations on cost report submissions. Let us help guide you, crunch the appropriate numbers, and provide the needed documentation to submit for cost recovery.
The Ground Ambulance Data Collection System (GADCS) is a program established by the Centers for Medicare & Medicaid Services (CMS) which aims to collect cost, revenue, utilization, and other data related to ground ambulance services provided to Medicare beneficiaries. The primary purpose of GADCS is to gather comprehensive information about ground ambulance services to assist CMS in determining appropriate Medicare payment rates for such services. The data collected through the system will help CMS evaluate the costs associated with providing ambulance transportation and ensure that Medicare payments are accurately aligned with these costs. We can help you navigate the data collection process as it applies to your agency, prepare survey responses, and assist with the GADCS portal submission process to CMS.
Rates, Fees and Charges CompendiumFor a copy of the NBS booklet on Rates, Fees and Charges in the Post-Proposition 13, 218 and 26 Era in California, click below.
and many more…
The Sacramento Metropolitan Fire District, “Metro Fire,” serves a population of over 727,000 in a 417 square mile…
NBS was retained by the City of Carlsbad to provide a user fee study for fire prevention services in the City. The City’s fire prevention fees had not been comprehensively reviewed in approximately 20 years.