EMS Billing and Collections
Financial challenges are a growing reality for EMS and fire-based agencies. Rising operational costs, underfunded reimbursements, and growing service demands require innovative solutions. By combining EMS billing through EMERGICON and fire billing through EMERGIFIRE, agencies can leverage a unified approach to maximize revenue, streamline operations, and focus on community safety. Unified Billing: A Revenue Diversification […]
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Surprise medical bills, often resulting from out-of-network care, are a nationwide concern. Since 2022, the No Surprises Act (NSA) has protected patients from unexpected medical costs incurred at hospitals, by healthcare providers, and by air ambulances. Though ground ambulance providers were largely exempt from the initial federal protections, the Act introduced new considerations for the […]
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The Centers for Medicare & Medicaid Services Fee Schedule for ambulance services determines the rates and structure CMS reimburses EMS agencies. Since Medicare and Medicaid are substantial payers for agencies within Texas , the Medicare Fee Schedule immensely impacts EMS billing and financial planning. Medicare reimburses ambulance services based on the lower of two amounts: […]
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Advance Beneficiary Notice (ABN) is a notice that providers issue when a service or supply doesn’t meet Medicare’s standards for reimbursement. The ABN shifts potential financial responsibility to the Medicare beneficiary. The notice allows patients to decide whether to proceed with the service and assume financial liability if payment is denied. EMS providers are required to […]
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Technological resources have become indispensable tools in the EMS billing industry. At EMERGICON, we rely on technology to develop new solutions and provide better service company-wide for internal and external audiences. Leading this assignment is the EMS Technology Department. Each Technology team member embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. They embrace our mission of […]
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In the EMS billing industry, provider credentialing is a critical step in ensuring proper enrollment for reimbursement. The Credentialing department at EMERGICON plays a vital role in helping EMS providers remain compliant and meet the stringent requirements set by Medicare, Medicaid, and other payers. Each Credentialing Specialist embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. […]
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A crucial component of any business’s success is ensuring clients receive exceptional care. At EMERGICON, the Client Services units handle this vital task. Comprising Client Development and Client Success, these teams collaborate to manage all customer interactions and provide support for any inquiries or requests. Client Success Specialists guide EMS providers through the onboarding process […]
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A crucial part of any business’s success is ensuring that clients are well cared for. At EMERGICON, the Client Services units handle this vital task. Comprising Client Development and Client Success, these teams collaborate to manage all customer interactions and assist with any inquiries or requests. Through Client Development and its Account Managers, EMS providers […]
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Compliance is EMERGICON’s cornerstone to protect internal processes, partner agencies, and their patients. Based on DHHS’s The 7 Fundamental Elements of an Effective Compliance Program, our Compliance Plan focuses on understanding and staying updated with the laws and regulations governing EMS documentation and billing. Compliance is part of every department in our business,” says Director Nicole […]
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Facilitating medical records requests is a Value-Added Service that EMERGICON offers to its partners. The Medical Records Department is responsible for addressing attorneys, record retrieval companies, or citizens medical and billing records requisitions. Each Medical Records Specialist embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. The team works directly with attorneys, record retrieval companies, or […]
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