Your dedicated EMS biller works your real claims in ImageTrend, ESO, or Traumasoft. Results visible before you pay anything.
Why EMS Billing Needs a Specialist
EMS billing fails at the PCR — not the billing system. Medical necessity documentation, ALS vs BLS level determination, and mileage documentation are all decisions made at the scene. A biller who reviews the PCR before submission catches the problems. A biller who submits from the dispatch code creates them.
What Our EMS Billers Do
| Task | How We Do It |
|---|---|
| Medical necessity review | PCR reviewed against medical necessity checklist before every claim submission |
| ALS vs BLS determination | Billing level matched to documented interventions — not dispatch code or crew intent |
| Mileage documentation | Loaded miles verified against PCR before claim — unloaded miles excluded |
| Denial management | CO-50 medical necessity appeals with PCR documentation attached |
| Payer mix management | Medicare Part B, state Medicaid, commercial — different documentation standards applied per payer |
EMS Software We Work In
ImageTrend Elite, ESO Suite, Traumasoft, AIIM (Zoll), Medusa, and TriTech/BillingTree.
Proven Results
An EMS billing company managing accounts for several ambulance services came to us with a clean claim rate stalled at 87.4%. Their pre-submission workflow wasn’t catching medical necessity gaps before claims went out.
We placed a dedicated EMS billing specialist. Within 60 days, the clean claim rate moved from 87.4% to 96.1%. The billing company recovered collections on claims they had written off as uncollectable.
Pricing
| Model | Cost |
|---|---|
| Full-time dedicated EMS biller (40 hrs/week) | $7/hr — $1,120/month |
| Part-time (20 hrs/week) | $7/hr — $700/month |
| Free dedicated RCM manager | Included on every account |
| 4-week free pilot | No cost — results first, commitment after |
| Contract | None — month to month |
Frequently Asked Questions
Do your EMS billers know ImageTrend specifically?
Yes. EMS biller placement includes platform-specific training on the client’s PCR and billing system. ImageTrend, ESO, Traumasoft — billers are matched and trained before placement.
Can you handle both the ambulance agency billing and the billing company layer?
Yes. We place billers directly with EMS agencies and with billing companies that manage multiple agency accounts. In both cases the biller works inside your systems under your supervision.
How do you handle Medicare medical necessity documentation?
Every claim goes through a PCR review against a medical necessity checklist: vitals documented, chief complaint present, reason for transport established as emergency. Claims that don’t pass the checklist are flagged before submission, not denied after.
(313) 725-9746 | info@drbillerz.com