EMS Financial Services conducts detailed claims audits of client billing practices for documentation and billing compliance. We review and analyze a sampling of ambulance claims and provide a comprehensive report of statistical findings and recommendations. The report includes a traceability matrix that associates each finding with the corresponding regulation in an easy-to-digest and actionable format.
All payers have different rules by which they process claims for payment. We specialize in reviewing claims billed to regulated payers – Medicare, Medicaid, Medicare Advantage, and Medicaid managed care. Our team has experience navigating medical transportation regulations for all payers.
We also review the results with clients to promote learning and provide additional clarity regarding complex transactions or compliance requirements.