Ambulance billing can also be considered as Emergency Medical Services (EMS). Ambulance billing is the service fee charged for ambulance transportation to a hospital facility.
Ambulance Billing Services:
Setting a benchmark in both pre and post ambulance billing services, Sunknowledge Services Inc today known for the highest productivity metrics in the market and also for its comprehensive RCM support at the best pricing standards in the marketplace.
Being different from the other medical billing specialties (DME, HME, orthotics, prosthetics, etc,) Ambulance billing is not based on a definitive diagnosis.
But instead, it requires experienced billers and certified coders to not only know the complete process knowledge but also be completely aware of its codes, billing regulation, modifier, etc.
Since in ambulance billing services specific modifiers identify the place of origin and destination of the ambulance trip which must be submitted on all ambulance claims Sunknowledge services Inc not only are up to date with the present billing mandates but is also an excellent destination for all complex ambulances billing services.
What is Ambulance Coding?
At the time a patient is picked up by the ambulance crew, a Patient Care Report is filed along with the additional backing of the “run sheets”; which is used for coding and billing purpose. Ambulance coding is quite different from other medical specialties.
In fact, the Certified Ambulance Coder (CAC) designation is primarily for ambulance billing personnel. This includes those involved in: Reviewing patient care reports, selecting procedure codes, diagnosis/condition codes and modifiers, filing ambulance claims etc. Furthermore, a unique set of codes that are not used for physicians’ or hospitals’ services are particularly used for ambulance coding, which are:
- 12 Level of service codes
- 11 Origin and destination modifiers
- 5 Signature requirement exceptions
- 31 Advanced Life Support condition codes
- 3 Advanced Life Support non-emergency condition codes
- 11 Basic Life Support non-traumatic condition codes
- 8 Basic Life Support traumatic condition codes
- 10 Basic Life Support non-emergency condition codes
- 11 Transportation indicator codes
- 8 Special situation modifiers
Sunknowledge Advantage For Ambulance Billing Services:
As it is a complex process, improper billing is a common challenge that many healthcare practices today. However, with Sunknowledge Services Inc you no longer have to worry anymore. Catering to all your pre and post ambulances billing services along with short “timely filing” periods, retroactive eligibility, Medicaid Managed Care, that need to be understood when ambulance service providers file their claims, Sunknowledge services not only maintain a 99.9% accuracy rate but also ensuring faster reimbursement offers seamless billing transaction.
In fact, our team has been extremely successful in collecting accounts receivable as old as three years, addresses the areas that can be missed out with un- timely submission / follow up on claims by ensuring:
- Regular follow-ups on the claims in a span of 30 days
- excellent reporting/data management best practices
- The continuous approach in trying to gather the claims processing information specific to payers
- Besides Our AR follow up mechanism involves
- Priority handling of the high dollar value claims
- The oldest DOS is the first to be addressed
If you are looking for task specific support in accounts receivable services and recovery, leverage the Sunknowledge opportunity right now! As a powerful healthcare service company, we are unique as we serve both payer and provider side of the business.
As a complete medical billing & collections company, we are currently working with leading hospitals, Nursing homes and emergency rooms and specialize in accounts receivable services at just $7/hr.
Powerful AR plan for Your Ambulance Billing
We are a reliable operational arm and offer actionable support for your ambulance billing needs. Our team has been extremely successful in collecting accounts receivable as old as three years, addresses the areas that can be missed out with un- timely submission/ follow up on claims by
♦ Regular follow ups on the claims in a span of 30 days
♦ Excellent reporting / data management best practices
♦ Continuous approach in trying to gather the claims processing information specific to payers
Our AR follow up mechanism involves
♦ Priority handling of the high dollar value claims
♦ The oldest DOS is the first to be addressed
Sunknowledge Services Inc specializes in a continuous approach to gather claims processing information specific to payers to determine the further status on the claims. We believe in a knowledge sharing approach with our follow ups, based on specific payer-provider contract; reduce the outstanding AR balances with a streamlined AR follow up action plan.
We bring to the table:
♦ Highly experienced staff handling your accounts receivable bucket
♦ Over 10 years of experience in claims adjudication for major insurance plans
♦ We reduce you’re A/R bucket by 30% within the first month itself
♦ Customized reporting/ account management support at no additional cost
♦ Over 10 years of experience in claims adjudication for major insurance plans
♦Unique expertise in working with difficult to recover A/R
Does Medicare and Medicaid Cover Ambulance Services?
Yes! Both Medicare and Medicaid covers some section of ambulance services:
Medicare- Covering ambulance services to or from a hospital, critical access hospital (CAH), or a skilled nursing facility (SNF); Medicare Part B (Medical Insurance) in fact covers and helps pay for ambulance services only when other transportation could endanger your health. It only covers ambulance services to the nearest appropriate medical facility.
Furthermore, Medicare may additionally cover the ambulance services if you have End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant), need dialysis, and need ambulance transportation to or from a dialysis facility.
In fact, Medicare will pay 80% of the Medicare-approved amount after you’ve met the yearly Part B deductible
Medicaid – as the Medicaid program is administered individually by each State. The coverage of ambulance services varies from state to state.
Who Receives The Ambulance bill?
It can be categorized into two ways:
The ambulance bill is received directly to the third-party payers including Medicare, Medicaid, and private health insurers for those who live in the Township. Though you are not responsible for the difference, if you live in the township, as your insurance carrier may not reimburse the township for the full fee you don’t have to worry about it. However, you may be receiving an Explanation of Benefits (EOB) from your insurance carrier.
Whereas for those who do not live in the Township, the individual is billed when Medicare, Medicaid, or a private health insurer does not pay the bill; though the initial ambulance transport billing goes directly to a third-party payer, if available.
How Does it Work?
First, with few questions, you will be asked to sign a form allowing us to bill the EMS to Medicare, if Medicare covers you. Once it’s done, we will take care of the rest process. However, if you are unable to do so during your transportation, the Ambulance Crew and the Hospital staff will sign verifying the reason for the failure and that you were transported to the hospital emergency department
Will EMS Billing Increase Local Insurance Rates?
This is because the insurance rate increase is driven by drug costs, technology, and research and billing at the allowable costs will have a negligible impact on insurance premiums. As these costs have already been build into your premiums for many years resulting in no increase in local insurance rate.
Furthermore, more than eighty percent (80%) of the nation’s fire departments that transport patients to the hospital bill for these services while ambulance costs are less than one percent (1%) of health care expenditures.
Do you have complete knowledge and expertise in the Software used for the ambulance billing software?
Also, Sunknowledge experts are equally proficient in working on different billing software like Brightree, Kareo, Futura CPR + and many more. Excelling in working on different billing software, we further ensure a seamless ambulance billing transactions and faster reimbursement rate.
What is EMS billing?
EMS stands for Emergency Medical Services and EMS billing is the service fee charged for ambulance transportation to a hospital facility.
Let us give you a complete tour on how we offer you the answer for a better revenue cycle management experience! Schedule a no commitment call with our experts to know how we offer great consistency and guarantee you complete support for your ambulance billing. So leverage our services as we are only the solution for seamless ambulances billing solution with a faster reimbursement rate and no binding contract for 30 days.