Consulting

EMS|MC provides a comprehensive array of consulting services to improve your billing performance. Using the latest in EMS system design, ambulance placement and long-range strategic planning, our team of consultants will develop a proposal that is unique to your agency’s needs to optimize your reimbursement potential. Our extensive experience in the EMS industry allows us to improve your account performance in a way that is compliant with the latest regulatory requirements. Our services include a full billing evaluation, assistance with governmental audits and appeals, and training sessions specifically designed for your field staff, administration, and/or facilities to educate on reimbursement issues.

With a long history of EMS experience, our expert consultants understand that no two systems face the same challenges. We will design a system plan catered to your specific needs and provide recommendations for a custom-tailored solution.

Compliance

EMS|MC employs a dedicated, well-trained compliance team who maintains comprehensive and updated knowledge of EMS law and regulations related to billing.

Audits

During government payor audits, we provide full support including review, preparation and submission of an accurate documentation package. If the audit determination results in a denial of claims, the audit results are contested to the highest level of appeal applicable.

CMS Policy

Centers for Medicare and Medicaid Services (CMS) advises each provider to develop and maintain a Compliance Program to ensure consistent billing practices and adherence to federal and state billing regulations. We carefully review current standard operating procedures and develop consistent and compliant billing procedures. Policies on collections, financial hardship policies, indigent care write-offs and unpaid accounts as well as schedules of patient invoicing are clearly documented.