Trust our Experienced Team to Handle Your Billing Needs, from Coding to Reimbursement
Looking for reliable and efficient ambulance billing and coding services that can streamline your revenue cycle? Look no further!
Ambulatory services play a huge role in offering patients with immediate medical care, acting as the right medium to ensure that they get treatments on time. Running an ambulance service is not child’s play as it can be complex and time-consuming, which is why we offer comprehensive end-to-end billing services that are completely customizable to meet your specific needs.
Enlist Expertise
Our team of experienced and AAPC-certified billing professionals handle all aspects of the billing process, from claim submission to payment posting, so you can focus on providing quality care to your patients. Our billing services are designed to optimize your revenue cycle, ensuring timely and accurate reimbursements for all paramedic services provided. We utilize the latest billing software and technology to maximize efficiency and reduce errors, helping you to achieve optimal financial performance.
Ambulance billing needs to adhere to a completely different set of norms and rules, and we have experts who are well-versed in its regulatory landscape. Our services are affordable and flexible, so you can choose the level of support that best fits your needs and budget. We pride ourselves on providing excellent customer service and support, with a dedicated team available to answer any questions or concerns you may have.
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Certified Resources
Our specialists are AAPC & AHIMA certified.
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HIPAA Compliant
All patient-related data is handled only by authorized personnel.
With our ambulance billing services, you can expect:
- Increased revenue and improved cash flow.
- Improved accuracy and compliance with billing regulations.
- Reduced billing errors and denials.
- Customizable billing solutions tailored to your unique needs.
- Access to real-time billing data and reports.
- 100% HIPAA compliance.
- AAPC certified coders.
- Dedicated customer support.
The services we offer as a part of Ambulance billing services are:
- Ambulance Billing
- Ambulance Payment Capture
- Integration with ePCR
- Follow-up with Unpaid Dues
- Detailed Report Generation
- Advanced Analytics
There are 4 sub-specializations of Ambulance Billing for which we offer our specialty medical billing services and they are:
- First Responders Without Transport
- False Alarm Handling
- Membership Programs Management
- Fire Inspection Management
Revitalize Your Revenue Cycle Today!
Don't let ambulance billing be a headache any longer - let our team of experts handle the process for you. Contact us today to learn more about our services and how we can help your healthcare organization thrive.
Schedule ConsultationField-tested workflow modules designed for success.
Our ambulance billing process involves several steps that are steadfastly followed to ensure accurate and timely reimbursement for services rendered to patients. Below is an overview of the different stages involved in the process.
- Patient Registration: This is the first step in the billing process. We obtain accurate patient information, including the patient's name, address, date of birth, insurance information, and the nature of the medical emergency.
- Demographic Entry: We then scan the data obtained for errors or irregularities and then document it into your billing or EHR software.
- Medical Coding: Once the patient has been transported to the hospital, we assist you with assigning appropriate medical codes, with modifiers if required, for the service provided.
- Claim Submission: Once the coding phase is complete, we submit the claim to the patient's insurance company or Medicare/Medicaid. Before submission, the claim is thoroughly audited to check if the patient's demographic information, medical codes, and the charges for the service provided are accurately represented.
- Claim Review: Once the claim is submitted, the insurance company or Medicare/Medicaid will review the claim to determine if the service provided was medically necessary and if it is covered under the patient's insurance policy. If the claim is denied, we develop a plan with the necessary supporting documents to appeal the decision.
- Payment Posting: Once the claim is approved, the payment will be posted directly into the patient's account and reconciled against the charges for the service provided.
- Patient Billing: If there is a patient responsibility, we will send a bill to the patient for the remaining balance after insurance payment. The bill will include an explanation of benefits and instructions for payment.
The ambulance billing process can be complex, as there are many regulations and rules to follow. That's why many ambulance service providers opt to outsource their billing to specialized companies that have expertise in ambulance billing and can manage the process efficiently and accurately.
Avoid the pitfalls that come with the complexity of this process.
The ambulance billing process is complex, and there are many challenges and obstacles that can arise. Below is an overview of the most common issues faced by our clients during the billing process:
- Incomplete or Inaccurate Patient Information: Obtaining accurate patient demographic information is a vital for the billing process. Many ambulance service providers face challenges in obtaining complete and accurate patient information resulting in claim denials or delays in reimbursement. We ensure the accurate capturing of patient data including insurance eligibility verification.
- Coding Errors: Medical coding is a critical step in the ambulance billing process, as errors in this phase result in high denial rates. It is important to ensure that the medical codes used accurately reflect the services provided. We ensure appropriate usage of CPT and ICD codes with the modifiers if necessary.
- Insurance Coverage Issues: Paramedic service providers face challenges in determining insurance coverage for ambulance services. Some insurance policies have limitations or exclusions for ambulance services, which can result in expensive write-offs. Over the years of close collaboration with most payers in the industry, our experts possess the know-how to help you traverse this regulatory landscape with ease.
- Claim Denials: Claim denials can occur for various reasons, such as incomplete or inaccurate information, lack of medical necessity, or failure to meet billing regulations. Our denials management system addresses these denials with root-cause analysis to prevent these trends in the future and help you appeal and follow up on existing denials.
- Payment Delays: Payment delays can occur due to processing times, disputes over coverage or charges, or other issues. This results in cash flow problems that negatively affect your bottom line. Our customized standard operating procedure for the ambulance billing process has inbuilt checks and balances in place to avoid these issues in the first place.
- Compliance Issues: The ambulance billing process is subject to various regulations and requirements, including those set forth by Medicare/Medicaid and other insurance payers. Compliance issues can arise if these regulations are not followed correctly. Our AAPC and AHIMA certified professionals are thoroughly trained and stay updated on the latest industry changes to provide you with the best outcomes.
To address these issues and ensure a smooth ambulance billing process, it is important to partner with a specialized ambulance billing company that has expertise in managing these challenges.
Most commonly used CPR and ICD codes in ambulance billing.
The CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) codes used in ambulance billing depend on the services provided and the medical condition of the patient. Below are some of the most common CPT and ICD codes used in ambulance billing.
CPT Codes:
- A0425: Ambulance service, basic life support (BLS)
- A0426: Ambulance service, advanced life support (ALS)
- A0427: Ambulance service, ALS, level 2
- A0428: Ambulance service, basic life support, non-emergency transport
- A0429: Ambulance service, ALS, emergency transport
- A0430: Ambulance service, BLS, emergency transport
- A0431: Ambulance service, ALS, level 1 (emergency)
- A0432: Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers
- A0433: Ambulance service, conventional air services, transport, one way (rotary wing)
- A0434: Ambulance service, conventional air services, transport, one way (fixed wing)
ICD Codes:
- R41.82: Altered mental status
- R42: Dizziness and giddiness
- R07.9: Chest pain, unspecified
- R06.02: Shortness of breath
- R10.31: Right lower quadrant pain
- R10.32: Left lower quadrant pain
- R10.33: Right upper quadrant pain
- R10.34: Left upper quadrant pain
- R11.2: Nausea with vomiting
- R41.0: Delirium, not due to a substance or known physiological condition
CPT and ICD codes are constantly evolving. In order to stay ahead of the curve we employ a bi-monthly training program that educates our billers and coders on the latest changes and updates in the industry. Helping us provide accurate services that ensure the billing process is managed efficiently.
What Our Clients Say
Together with our clients, BHS experts partner to achieve desired outcomes
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“Jay – Great. I really appreciate your in-depth analysis on our outstanding. Your AR recovery process has been excellent.”
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“If it wasn’t for your verification team, I would’ve never known I needed authorization for this surgical procedure. They have consistently sent verified reports on time, every day.”
“I highly recommend Bristol to any healthcare provider seeking a reliable and efficient medical billing partner. Their commitment to excellence, attention to detail, and dedication to maximizing revenue has been instrumental in helping our practice thrive financially.”
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“Their team took the time to understand our practice’s unique needs and workflows to implement a personalized billing process that ensured improved reimbursement rates. We’ve now eliminated duplicate data entry, minimized errors, and saved our staff valuable time.“
“With their expertise in managing our billing processes, we have been able to focus on what truly matters – delivering outstanding orthopedic care to our patients.”
