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Billing

“You focus on the patients, we’ll handle the rest.

 

No matter if your department is just starting to transport, been around for decades, or anything in between, Med-Bill will offer a customized plan to meet your every need.

 
 
 

Complete EMS Billing Package:

We take great pride in our thorough billing and claims process. With our “No Stone Unturned” approach, we evaluate every possible payer source, which allows us to maintain a 97% clean first submission claim rate each month.

Med-Bill works with fire departments, ambulance services, and hospitals of all sizes specializing in billing EMS emergent and non-emergent transports. With over 250,000 EMS claims processed each year, Med-Bill understands the unique challenges associated with ambulance based EMS. We also offer the widest range of customized compliance and collection options to meet your unique billing needs.

An important partner of EMS billing is accurate and transparent reporting, which is why we provide customized and comprehensive monthly reporting. Med-Bill provides a secure client portal to each of our departments so they can review reports, deposits, run reports, speciality reports, etc. 24 hours a day.


Additional Benefits From Med-Bill:

  • Med-Bill will handle all patient, insurance and attorney inquiries on accounts.

  • A Complete recap of account with paper trail of each claim available upon request for audit (this includes, notes on accounts, copies of all claims, payments and correspondence, etc.).

  • Client Portal login and password to log into Med-Bill's billing system to view accounts and month end reports is provided.

  • Prepare, process, and file all insurance paperwork every 2 years including CMS, Medicaid, Anthem, etc.

  • Prepare, process, and file all necessary paperwork to all insurance providers in the event of an address change.

 
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Collections

Med-Bill’s softer approach to collections helps ensure good relationships with patients.

 
 

Below is our collections process in a nutshell. Med-Bill always respects the policies set in place by the provider, and will customize our practices based on your community’s needs.

 
 
 

Med-Bill Corporation Collection Process:

 

Med-Bill understands that not all accounts can be easily resolved, which is why we have created a collection service specifically for EMS accounts.

We take a “softer approach” to collections to ensure that the positive relationship between your service and your community is maintained.

Although the main focus is always to obtain the highest reimbursement for your service and your crew’s hard work, we partner closely with the patients to resolve their accounts in a fair and respectful manner.

Below are our policies based on State and Federal regulations, but Med-Bill always respects the policies set in place by the provider, and will customize our practices based on your community’s needs. For example, some providers want very limited collection activity taken, while others want all possible legal actions pursued. Med-Bill will customize our collection service and process based on your service’s specific needs.

 

Med-Bill Corporation Collection Policies:

 

  • Med-Bill’s Collection Services follow all State and Federal regulations, including FDCPA, FCRA, and HIPAA.

  • All collection letters, statements, and calls follow FDCPA guidelines.

  • Med-Bill takes a soft approach to collections to ensure a good relationship between your service and your patients.

  • Med-Bill works hand in hand with your patients to ensure they have every opportunity to resolve their account including:

    • Payment Plans

    • Check by Phone

    • Credit Cards (at no cost to client)

    • Hardship Options

    • Negotiated Payoffs

 

Med-Bill will not transfer any account to Collections unless otherwise approved by the provider. Credit reporting, estate filing, or bankruptcy filing also follow suit and must also be approved by the provider before action is taken.

 
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Compliance

Never again worry about being out of HIPPA compliance—learn more about Med-Bill Services today.

 
 

Med-Bill’s compliance program is managed by our NAAC Certified Ambulance Compliance Officers. We pride ourselves on maintaining the highest level of compliance with all state and federal laws, rules, and regulations, including HIPAA, CAC, CACO, and FDCPA compliance. We strive to ensure that all transports are billed correctly and in accordance with all federal and state laws, and that the provider receives the proper reimbursement for the services they are providing.

 
 
 

What Is Compliance?

Compliance is adhering to all Federal (Medicare) and State (Medicaid) guidelines pertaining to ambulance transportation. These guidelines are in place to prevent false claims and overpayments, and are currently being strictly enforced.

Whether you have hundreds of runs per day or only a handful of runs per year, everyone is held to the same standard of billing compliance. This includes compliance with the ever-changing laws, guidelines, healthcare trends, and government regulations that we all must adhere to. These guidelines are vast and include patient care documentation, reimbursement, employment workplace, and licensure matters. And while compliance helps ensure that we are all committed to the same high standard of practice, it can also be very difficult to navigate.

We want to ensure that all of your documentation is accurate and in accordance with Medicare and Medicaid's compliance standards. Effective compliance practices will prevent negative audit outcomes including thousands (if not millions) of dollars in lost revenue. 

 

Compliance

We pride ourselves on our compliant practices, and with the ever-changing EMS industry this means employing a well educated staff and ensuring their continued education. Nearly 85% of our staff have been certified through the National Academy of Ambulance Compliance for further education, including   

  • Certified Ambulance Coders (CAC)

  • Certified Ambulance Documentation Specialists (CADS)

  • Certified Ambulance Compliance Officers (CACO)

  • Certified Ambulance Privacy Officers (CAPO)

To further our compliance, we also have a Paralegal on staff, and work closely with the National EMS Law Firm Page, Wolfberg, & Worth LLC to ensure Med-Bill is always up-to-date with industry practices and standards.

Our team participates in all relevant seminars, conferences, webinars, board meeting, continuing education courses, etc. to ensure we are practicing within the most up-to-date State and Federal regulations and guidelines. Med-Bill is also active in the community, working alongside the Indiana EMS Commission and the Indiana Emergency Response Commission to help progress positive changes for the EMS industry. Med-Bill’s Operations Manager, Brandon Driscoll, is personally responsible for the recent FSSA reversal decision of down coding, which will result in thousands of dollars in additional revenue for all EMS providers in the State of Indiana.

 

Provider Compliance

As a billing service, Med-Bill analyzes each run report for proper service levels, and ensures all proper billing documentation is received before filing a claim. However, compliance does not end there.

With Med-Bill, you will have a dedicated Certified Ambulance Compliance Officer on staff!

Med-Bill will guide your service through the intricacies of the proper back-end documentation needed in accordance with Medicare and Medicaid’s compliance standards. This includes driver’s licenses, EMT/Paramedic certifications, State ALS/BLS certifications, ambulance registration and certifications, monthly checks for every employee through the Office of Inspector General (OIG) List, and all additional documentation and information required.

Many stations have a good grasp on their compliance documentation; however, if you need extra help, Med-Bill can also manage your complete compliance for you! Our compliance services (listed below) are very comprehensive, however, if your station has specific needs or challenges then we will fully accommodate as needed. As always, our services are completely customized based on your service’s needs


Our Goal:

To ensure that our clients adhere to all applicable laws, regulations, and policies when submitting claims to Medicare, Medicaid, and commercial payers. This includes proper documentation of services, billing, coding, claims submission, and the prevention and/or detection of possible fraud and/or abuse.