Ambulance Billing Services

Certified Ambulance Billing Services

Are ambulance billing complexities slowing down your payments and affecting your financial stability? Do you find it challenging to track claims, ensure proper documentation, and stay compliant with ever-changing payer regulations? Ambulance billing is a many-moving-part process that includes emergency and non-emergency transports, medical necessity documentation, proper mileage, and level-of-service coding, which creates a high risk of error and delay that directly hits your revenue.

The ambulance billing solution at 24/7 Medical Billing Services is designed to simplify the revenue cycle operations of your EMS. Our complete ambulance billing solution tracks real-time activity on billing and claims that leads to improved reimbursement levels and cash flow results.

Our team links seamlessly with multi-payer platforms which includes Medicare, Medicaid and private payers to reduce claim denials, accelerate payment cycles, and maintain regulatory compliance throughout ambulance billing processes. We also keep you in front of regulatory updates and assist with optimizing best practices for ambulance billing management.

With 15+ years of experience in ambulance and EMS billing, 24/7 Medical Billing Services not only enhances billing accuracy but also combines automated workflows with your EHR systems to remove manual errors and maximize billing performance. Whether you are offering emergency medical transport or scheduled non-emergency services, we make sure each claim is thoroughly supported, properly coded, and paid on time.

We serve:

• Emergency Medical Services (EMS) Providers,
• Non-Emergency Medical Transport (NEMT) Providers,
• Hospitals and Health Systems, and
• Correctional Health Services Providers

About Ambulance Billing Services

Ambulance billing services involve managing the financial processes related to emergency medical transportation. The process requires correct coding of provided services followed by insurance claim preparation and submission to ensure proper healthcare reimbursement. The goal is to ensure that healthcare providers receive timely payments for ambulance services. These services also involve track claims while checking for inaccuracies and enforcing compliance with healthcare payment regulations and payer protocols.

Why Ambulance Health Providers Trust 24/7 Medical Billing Services

Journey from Dispatch to Dollars – 24/7 Medical Billing Services Handle Every Level of Challenge with Precision!

Unclear Medical Necessity Standards

Ambulance claims often face denials due to vague medical necessity criteria. Our team ensures each claim is backed by thorough documentation and compliant with CMS definitions, significantly improving approval rates and reimbursement timelines.

Improper ALS vs. BLS Coding

Misuse of ALS codes where BLS should apply leads to audits and overbilling issues. Our experienced ambulance billing coders apply jurisdiction-specific protocols to accurately distinguish between ALS and BLS services, minimizing compliance risks and penalties.

Inadequate Patient Care Reports (PCRs)

Incomplete PCRs can jeopardize claim validity. 24/7 Medical Billing Services works closely with EMS teams to ensure all necessary clinical details are included, supporting medical necessity and meeting payer documentation requirements.

Signature Collection Gaps

Missing or improper patient signatures cause major claim delays. We guide EMS crews on valid Medicare signature exceptions and ensure correct alternate signatures are obtained and recorded to support claim submission.

Insufficient Staff Training

Many billing errors stem from applying general medical coding to EMS cases. We provide ambulance-specific training for our billing staff, ensuring accurate code application aligned with EMS service protocols and compliance standards.

Misapplication of ALS Assessment Rule

ALS-level billing is often incorrectly triggered by the presence of a paramedic. Our experts apply Medicare’s ALS Assessment rule correctly, using dispatch details and PCRs to determine justified billing levels.

Non-compliant PCS Form Usage

Billing Medicare without a valid PCS form in non-emergency cases can lead to denials. Our team ensures PCS forms are properly completed, signed, and match the PCRs to verify non-emergency medical necessity.

Overlooked Payer-Specific Guidelines

Ignoring private payer exceptions and modifiers can reduce reimbursements. We stay current with payer-specific ambulance billing policies, tailoring claims for each insurer to maximize accuracy and revenue capture.

How Our Ambulance Billing Services Process Works?

Too Many Steps, Too Much Hassle?

We Simplify the Ambulance Billing Process End-to-End!

The specialized ambulance billing process of 24/7 Medical Billing Services ensures faster reimbursements, fewer denials, and complete compliance. Every stage from pre-billing audit to software integration support is optimized to reduce errors and maximize your revenue with accuracy and speed.

01. Pre-Billing Audit

Our experts begin with a meticulous review of trip sheets, medical necessity, crew certifications, and patient signatures to ensure billing readiness.

02. Documentation Review

Our team assesses all clinical and trip documentation to confirm it meets payer and compliance standards for accurate claims support.

03. Real-Time Insurance Verification

Eligibility and benefits are verified instantly to avoid claim rejections and delays due to invalid or expired coverage.

04. Level-of-Care Assessment

We evaluate and document whether the transport qualifies as BLS, ALS, or SCT, aligning the service level with HCPCS coding.

05. Coding and Charge Entry

Our certified coders apply precise CPT, HCPCS, and ICD-10 codes to correctly reflect services provided, ensuring maximum reimbursement.

06. Mileage and Route Validation

Using GPS-enabled systems, our professionals validate the mileage and document the most efficient, payer-compliant transport route.

07. Claims Submission

Clean claims are submitted electronically via secure EDI systems, reducing turnaround time and minimizing processing errors.

08. Proactive Denial Management

We monitor every claim and handle denials swiftly through root cause analysis and timely, well-documented appeals.

09. Patient Billing and Payment Posting

Patient statements are generated with clear details; payments are accepted securely online and posted promptly.

10. AR Follow-Up and Collections

Our specialists follow up consistently on outstanding claims, reducing days in AR and improving cash flow.

11. Financial Reporting

Comprehensive, customized reports give you insight into reimbursement trends, key performance indicators, and improvement areas.

12. Compliance Monitoring

Our team conducts continuous audits and updates to ensure adherence to CMS and payer-specific billing regulations.

13. Software Integration Support

We integrate with leading EHR, dispatch, and billing software platforms for seamless data flow and operational efficiency.

24/7 Medical Billing Services Benefits

• 1.5 M – Billable Transports
• $1.2 B – Billable Charges
• $409 M – Payments Processed
• 98% – Clean Claim Rate
• < 30 – Days in AR

What do 24/7 Medical Billing Services Offer?

Ambulance Billing Made Simple!

Every Step of the Way from Claims Submission to Collection!

24/7 Medical Billing Services, as a certified ambulance billing partner, provide comprehensive and customizable solutions from claims submission to collections that streamline your ambulance billing process, improve reimbursements, and reduce denials.

Claims Submission

• Advanced EDI for seamless claim submission
• HIPAA-compliant data transmission for security
• Accurate CPT and ICD-10 coding for proper documentation
• Real-time claims tracking with a user-friendly dashboard

Denial Analysis

• Root cause analysis to uncover denial reasons
• Payer-specific denial patterns for targeted solutions
• Advanced appeal management system to handle disputes
• Predictive analytics to prevent future denials

Mileage Calculation

• GPS-enabled verification for accurate distance tracking
• Automated route optimization for efficient service delivery
• Payer-compliant mileage documentation to avoid issues
• Real-time transport logging to track every trip

Medical Documentation

• Full EHR integration for easy access and updates
• CMS-compliant documentation to meet regulatory standards
• Structured data entry templates for efficient reporting
• Real-time audit trails to track all documentation

ALS, BLS, & SCT Differentiation

• Service-specific HCPCS coding for accurate billing
• Documentation of medical necessity for all services
• Level-of-care validation to ensure proper reimbursement
• Payer-specific reimbursement guidelines for each level

Patient Billing and Collections

• Clear and patient-friendly billing statements
• Automated payment reminders for timely collections
• Secure online payment portals for convenience
• Comprehensive collections management system for follow-ups

Why Choose 24/7 Medical Billing Services?

100% Reimbursements for Lifesaving Ambulance Services!

24/7 Medical Billing Services provides specialized support for ambulance billing to ensure emergency transport providers get the right reimbursements on time. There are many medical industries still existing without getting proper reimbursements for services of an ambulance. When ambulance billing services are properly mentioned in claims, there are 100% chances of getting reimbursed without any denials. But most of the billing services don’t see to the benefit of the medical industry. With our expertise, we eliminate denials to ensure 100% reimbursement potential, and help emergency departments maximize their financial efficiency.

Instant Pays

When ambulance services are correctly claimed, there are chances for 25% of instant pays and it can improve the standards of your revenues. We use the right software to calculate the pays and improve your medical industry revenue by 30%.

The 7-Digit Code

Our team uses 7-digit codes which are ICD-10 codes for ambulance billing. The first three codes define the category, fourth is etiology, fifth is the affected body part, sixth is severity, and seventh is the extension of the condition.

Transparency

Our experts offer 100% transparent ambulance billing services tailored for your medical practice. There are no hidden fees or unexpected charges for software implementation. Our pricing is fair, and we never compromise on quality as our professional coders ensure you receive the best, most reliable software solutions.

15+ Years of Experience

Our team is actively participating with many clients in ambulance billing services. With 15+ years of practice, we implement customizations in software like AdvancedMD, Kareo, Epic, and more. We support clients on technical and non-technical needs with timely A/R follow-up.

With 24/7 Medical Billing Services, You Can Expect:

• Smooth transition support
• Expertise in billing across all emergency transport services
• Data security with multi-layer protection
• Innovative reimbursement solutions
• Improve cash flow by up to 30%
• A/R follow-up within 5 days

Want to stop the revenue drain in your ambulance billing? Outsource your ambulance billing and coding services to get paid faster, with 100% reimbursement and fewer denials!

Our Happy Clients

Where Our Expertise Meets Our Client’s Trust!

"24/7 Medical Billing Services has drastically improved how we manage our ambulance billing. The experts have brought efficiency and peace of mind to our operations from handling complex payer requirements to reducing our claim rejection rate."
 — Daniel Moreno, Top Healthcare Organization, United States

"The professionalism and dedication shown by the 24/7 Medical Billing Services team are unmatched. Their deep understanding of ambulance billing has not only minimized our compliance risks but also accelerated our reimbursement timelines."
 — Rachel Kim, Leading Healthcare Provider, United States

"We encountered numerous delays and inaccuracies within our ambulance billing process until we partnered with 24/7 Medical Billing Services. Their customized solutions combined with proactive follow-up activities from their team enables our cash flow stability and meets every compliance benchmark."
 — Liam Turner, Renowned Healthcare Provider, United States

Get Paid Faster with 100% Reimbursement for Every Emergency Call

Our EMS billing team ensures clean claims and zero missed reimbursements. With the help of our experts, you can cut denial rates and improve cash flow with 24/7 follow-up and claim resubmission.

Schedule Your Free Ambulance Billing Audit Now

FAQs

What details are included in an ambulance bill?

An ambulance bill typically contains provider information and patient details, date and time of service, and a breakdown of services such as life support or special care.

What is EMS billing?

Medical facilities use EMS billing to charge for emergency responder transportation and medical needs while meeting reimbursement requirements through precise data recording.

What distinguishes BLS from ALS services?

Basic Life Support procedures serve patients with non-invasive medical techniques and Advanced Life Support provides complex paramedic-driven interventions.

What is balance billing, and is it legal for ambulance services?

Balance billing occurs when providers bill patients for the difference between their charge and the insurer's payment. It's generally legal for ground ambulance services, as they're often exempt from federal protections like the No Surprises Act. b

Are there protections against surprise ambulance bills?

Though some states have protections, there are currently no federal laws preventing surprise billing for ground ambulance services.