EMERGICON AMBULANCE BILLING AND COLLECTION SERVICES

Ambulance Billing

Through our billing for ambulance services, EMERGICON has increased reimbursements for every one of our 150+ Texas clients.

EMERGICON follows a customized, proprietary 3-Step Quality Assurance and Improvement Plan that emphasizes rigorous cross referencing (with ESO Billing Software Services and manual review), unique EMS and emergency responder training and continuous training of EMERGICON staff.

EMERGICON employs a Continuous Quality Improvement process (CQI) for billing. Patient charts are reviewed manually for documentation of patient condition and chief complaint, for signatures and for all areas that are required for claims to be complete. This is a common-sense approach. Unfortunately, it’s not very common. Our staff uses this review process to provide your department with meaningful feedback that closes loopholes and improves reimbursement by focusing on compliance and clinical documentation while better managing litigation risk.

The difference between good billing and great billing, assuming everything else is equal, is consistent follow-up.

Claims Recovery

Different from collections services and ambulance billing services, EMERGICON offers Claims Recovery Services. Very few ambulance billing companies offer this difficult, highly valuable service.

EMERGICON turns over every stone and finds money that was overlooked or deemed unrecoverable. Few perform this service because it takes highly trained staff combing through an organization’s accounts receivable history to find ambulance bills that are unpaid, but lawfully still recoverable from Medicare, Medicaid, insurance companies or patients.

This process is similar to an accountant looking through your previous tax filings and discovering the IRS owes you money.

With some new clients, we have offered this service as a way to prove our worth before signing a long-term contract.

Fire Recovery Billing

EMERGICON offers Fire Recovery Billing services to Texas providers of fire fighting, fire suppression and rescue services. Fire Recovery Billing by EMERGIFIRE recovers the costs associated with motor vehicle accident extrication and hazardous material incident cleanup, as well as structure and industrial fire suppression.

Eligible Fire Department billing

• Motor Vehicle Incidents
• Structure Fire
• Vehicle Fire
• Equipment Fires
• Hazardous Material Incidents
• Industrial/Commercial Incidents

Collection Services

EMERGICON takes a customized approach to collection services in Texas.

We understand your patients and citizens have needed your department’s ambulance services because of traumatic events. We are sensitive to your patients’ and residents’ needs, and tailor our collection efforts to meet your policy or ordinance. Those who are responsible for pre-hospital services should be the ones to pay for those services, whether it’s Medicare, Medicaid, insurance companies or patients. These costs should rarely be written-off.

EMERGICON has the depth and breadth of needed EMS experience to find sources of reimbursement often overlooked by a typical collection agency. We review the accounts deemed uncollectible by your billing professionals and analyze them for opportunity.

EMERGICON is a bonded collection agency. We reserve hard collection efforts, i.e., legal and credit bureau action, for patients who have made no effort to resolve their bill and those that your department deem necessary. We offer bilingual services to aid your patients in any way possible. We can design payment plans to meet your department’s criteria and encourage patients to agree to a mutually acceptable solution to resolve their bill.

Our unique Continuous Quality Improvement process identifies trends and potential problems with claims, offering custom solutions to rectify those issues and to close any loopholes before accounts go to collections.

Supplemental Payment Program

We help governmental clients yield additional revenue through this unique reimbursement opportunity to reduce the gap between the cost of offering EMS services to their communities and reimbursement from Medicaid.

Additional Services

Beyond our core billing and collections services, EMERGICON provides a host of additional value-added services to help our clients optimize their ambulance billing programs including:

• Attorney Request for Medical Records
• Medicare & Medicaid Revalidations/Renewals
• Annual Compliance Training
• Fee Schedule Evaluations
• Custom Analytics

Learn more about our unique process and how we work with clients.