Ambulance Billing Services

Our team members are certified with CAC (Certified Ambulance Coder) and CPB (Certified Professional Biller) certifications from AMA and AAPC. They are specialized in the complex process of ambulance billing and coding for accurate claims submission. Here is how we assist you in the ambulance billing process: 

• Replace paper-based billing with ambulance-specific billing software integrated like electronic data interchange (EDI), EMR, EHR, and electronic payment systems to minimize manual errors and speed up the payment cycle.
• Collect patient details (registration number, medical history, physician referrals) and verify insurance details (SSN number, preauthorization requirements, effective dates, expiration dates, claims addresses, COBs) to validate claims and prevent claims delays and rejections.
• Maintain precision in code selection and adherence to insurance payer guidelines for different types of billing for ambulance services (value-based billing, telemedicine billing, capitation billing, and episode-of-care billing processes)
• Pay special attention to including specific codes for advanced life support (ALS) and basic life support (BLS) level of care provided to patients.
• Strict alignment with ambulance billing-related codes such as CPT codes (A0426-A0434), ICD-10-CM codes, HCPCS codes (A0021-A0999), and modifiers (destination modifiers, mileage modifiers, place of service codes, etc.)
• Submit clean claims to the payers, including government programs (Medicare, Medicaid), private insurance companies (Anthem, Aetna, Cigna, Blue Cross Blue Shield), workers compensation insurance, Tricare, Veterans Health Administration (VHA), etc.
• Reconcile EOBs from payers and resolve any disputes for the appeals process to obtain maximum reimbursements.
• Generate accurate out-of-pocket expenses, including deductibles, copayments, and coinsurance, to inform patients about their paying responsibilities.