Facts

As a ambulance billing company based in Rocky Hill, Connecticut, Certified Ambulance Group, Inc. gives volunteers, municipal and other non-profit Emergency Service providers the benefits of having a full-time qualified billing staff without the associated costs.

Background

During the mid-1960s, EMS providers experienced a dramatic change in its ongoing effort to provide patient care in the field. Pre-hospital care had grown into a comprehensive program consisting of First Responders, Basic Life Support (BLS) and Advanced Life Support (ALS) transporting units, ALS Fly Cars and Air Ambulances. As the services rapidly grew, lack of funding for non-commercial EMS providers and rescue services also became a persistent problem. However, more than 90% of all patients transported by EMS are covered by some sort of insurance plan or entitlement. The addition of the 2012 Affordable Health Care Act (AHC) also included Ambulance coverage with acceptable insurance plans. Current proposals to modify the AHC also contain language that covers emergency transportation to the hospital. As a result, volunteer and municipal EMS providers are entitled to recover funds through insurance billing.

Old Methods Revisited

Revenue Recovery for EMS is nothing new. In fact, commercial EMS service providers have been billing for years. Most states do not differentiate between a volunteer or municipal EMS provider and a commercial EMS provider. This opens the door for any appropriately licensed or certified EMS provider to change for services as long as they continue to meet all State and Federal standards.

Revenue Recovery

Rescue Revenue Recovery is another concept we have introduced on the East Coast. Auto accidents, hazardous materials spills, and industrial accidents all require more manpower and equipment than the typical ambulance transport. Although included in most insurance policies, rescue calls also have certain costs associated with them that are not recovered by the squad providing the service. If these costs are not recovered from the insurance companies, the community will absorb the expenses. That being said, there is no question the emergency provider should recover all those funds.