Optimize revenue and reduce expenditures with the most advanced ambulance medical billing services

Ambulance Medical Billing deals with providing medical billing services, payment processing and collection of revenue for the rescue department.

After a patient is transported by Ambulance, the Ambulance medical billing service Department submits a claim in accordance with Medicare, Medicaid or any Commercial Insurance Companies’ regulations. These regulations make the billing process complex and often change.

Ambulance medical billing is a specialty unto itself. It requires a totally unique set of codes that are not used for physicians’ or hospitals’ services. There are special sets of:

12 Level of service codes 

11 Place of service 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 

The differences between medical and ambulance medical billing are profound. The codes and documentation requirement is unique. For example, the condition codes are required to be used as it is beyond the scope of an EMS license to provide diagnostic treatment which only a physician can do.

The condition of the patient can also be different than the one actually needed to deploy an ambulance and there are rules which must be followed for a condition to be included in the claim. Or, the patient may have died between dispatch and the ambulance arrival. All of these factors and many more must be considered by the ambulance coder in order to produce an accurate and compliant claim.

Many jurisdictions contract with private ambulance and patient transport companies. Medicare and the OIG may increase oversight activities in the ambulance billing area due to the unique requirements for ambulance coding. Ambulance coding is vastly different from the medical specialties that utilize evaluation and management codes to identify provider services.

Well, trained ambulance coders are difficult to find, expensive to recruit, and their ongoing training can be quite costly. Only a few certified coders have the extensive ambulance coding experience and specialty knowledge possessed by our staff of ambulance coding experts.

Bikham Healthcare's Ambulance Coding Division provides state-of-the-art coding for ambulance and EMS services through its staff of Certified Ambulance Coders (CAC) specialists. Our certified ambulance coders ensure that your claims are accurate and compliant with the central and state’s rules and regulations. Outsourcing your ambulance medical billing services may help optimize revenues and reduce your billing costs by minimizing claim denials.

With 13 years of on hand Industry experience, 100% HIPPA compliance and ISO/IEC 27001:2013 accreditation, Bikham healthcare is second to none.