The workflow for medical billing ambulance service is starkly different from the conventional medical billing service. Factors such as constantly changing ambulance rules and regulations, inappropriate documentation, heightens the chances of mistakes. An in-house medical billing team is less likely to have the bandwidth and the expertise to execute medical billing ambulance service without any flaws. Any such errors in billing will invite penalties from Medicare. Such complicacies reinforce the importance of outsourcing medical billing ambulance service to expert third parties. Here’s looking at some of the top benefits of outsourcing this service.
Thorough documentation- Proofs of an ambulance transport, involvement of a medical crew during that transport are not enough to convince an insurance auditor. The supportive documentation must include every specific detail such as the patient’s condition during the transport, the nature of the condition, immediate treatment given, and alike. Coding and billing services are largely dependent on the accuracy of this documentation. However, since most of such information are filled by the ambulance crew while on the run, there are heightened chances of errors. A third-party medical billing ambulance service provider has a dedicated team who takes an end-to-end responsibility of creating a detailed documentation. They ensure filling all the patient and ambulance transport details. Their documentation is in adherence with the prudent layperson standard, Medicare, and Medicaid rules. Maintaining these standards is the key towards ensuring a reimbursement for the transport given.
Access to superior technology- Expert third party medical billing ambulance service providers use advanced ambulance billing software. It has sophisticated report features that offer a holistic view on the claim processes and the unpaid transports. Using such an advanced software helps automating the entire claim processing. The client gets an access to this software without any extra cost and is exempted from the hassles of training the in-house team on how to use the tool.
Boost to revenue- A majority of emergency medical service providers have to settle for less because of underpayments. This is because of the lack of transparency from their in-house billing team on the number of paid and unpaid bills. Insurance payors will reimburse these bills if they are flagged on time. Outsourcing to a medical billing ambulance service provider will open access to a dedicated team who are committed towards offering absolute transparency on the bills. They have the necessary insight and experience to advise EMS providers on how to get denied bills reimbursed. They initiate the process and follow up with the insurance payor on behalf of the contesting EMS provider.
Cost-saving opportunities- Maintaining an in-house team for medical billing ambulance service entails significant operational overheads in the form of hiring cost, training costs, salaries, and other benefits. The inability to recommission the team to execute other services results in wastage of finance and labor. Third party vendors have industry experts who don’t require any initiation into the process. They have the required ability to do an end-to-end execution of the medical billing ambulance service. Such vendors are known to offer need-based packages which means that the client only has to pay for the service opted. This exempts the client from hiring and training costs as well as promotes scalability.
Before outsourcing, it is necessary to carefully analyze the pros and cons of maintaining an in-house team for medical billing ambulance service against doing away with it. Once convinced about the advantages of outsourcing, an EMS provider must consider the important criteria prior to engaging a medical billing ambulance service partner. Such criteria include a modern billing process workflow, provision of customized reports, follow-up service with insurance payors, proper communication, trained staff, and complete access of the clients to their accounts.