Ambulance billing
& claims follow-up
Claim preparation, ambulance-specific HCPCS and modifiers, mileage, electronic submissions, clearinghouse rejections, and corrected claims.
BLS · ALS · MileageNationwide inquiries welcome.
Ambulance billing.
Done right.
Former ambulance company co-ownerEMT documentation & PCR trainer
- 19+years of ambulance billing
- 18+years of EMT-Basic certification2005–2024
- 13+years of NEMT leadership
Focused on getting claims paid the first time—helping reduce avoidable denials and cash flow delays. Nationwide inquiries welcome, with services reviewed for your state and payers.
Novitas · WPS · TrailBlazer experience Remote support
MADE FOR THE EMS REVENUE CYCLE
Every detail matters.
Eligibility & documentation review
Claim preparation & payer follow-up
Denials, reconsiderations & appeals
19+years in
ambulance billing
ambulance billing
First-time payment starts before submission.
Careful claim preparation. Fewer avoidable delays.
THE RIGHT SUPPORT, IN THE RIGHT PLACE
An independent specialist.
A flexible partnership.
Ongoing billing support or a defined project. Start with the work your organization needs help moving forward.
DIRECT BILLING PARTNERSHIPKeep your focus on the service.
Keep your focus on the service.
Get support with the revenue cycle.
Work directly with an experienced ambulance billing specialist who understands the connection between the trip, the documentation, and the claim.
- Ongoing ambulance billing and payer follow-up
- Denial resolution, appeals, and aging account review
- Provider enrollment and managed care network support
SUBCONTRACT BILLING SUPPORTAdd ambulance billing experience
Add ambulance billing experience
where your team needs it.
Bring in independent support for a defined account, a billing backlog, or complex reimbursement follow-up. Responsibilities and workflows are agreed before work begins.
- Account-specific billing and claims follow-up
- Overflow work, A/R projects, and denial support
- Direct communication and an agreed scope of work
A SMALLER FIRST STEP
Not ready to switch billers?
Start with your toughest claims.
Trouble getting difficult claims paid, or running into repeat issues with a particular payer? Let us take a closer look.
Changing billing companies is a big decision. Start with a selected group of denied, unpaid, or aging claims and see how we work before considering a full account transition.
We review the denials, documentation, and available recovery options, then pursue payment through follow-up, corrections, and appeals where appropriate.
Discuss difficult claimsSPECIALIZED SERVICES
Get the details right.
Keep cash flow moving.
Get support with claims, eligibility, authorizations, and payer follow-up—or strengthen your team through remote PCR training and ambulance billing consulting. Choose an ongoing billing engagement or focused services while keeping your current biller. Scope is reviewed for your state, payers, and needs.
Ambulance billing
Eligibility
& benefits verification
Verify patient eligibility, plan benefits and limitations, coordination of benefits, and whether prior authorization is required for the planned transport. Identify coverage issues and authorization requirements that need attention before billing. Available as an add-on service while you keep your current biller.
Coverage & benefits · Authorization requirements · Coordination of benefitsFirst-of-month insurance
re-verification
Recheck insurance eligibility and payer information at the beginning of each month to help identify coverage or carrier changes before they result in misdirected claims, payment delays, or missed revenue. Available as an add-on service.
Monthly coverage review · Carrier changes · Revenue protectionPrior authorization
submissions
Prepare and submit prior authorization requests using documentation provided by the ambulance company. Follow up on authorization status and coordinate payer requests for additional supporting records. Available as an add-on service with an agreed scope.
Company-provided documentation · Payer submission · Status follow-upDenials, appeals
& aging accounts
Investigate unpaid claims, research payer requirements, prepare reconsiderations and appeals, and follow up on underpayments and aging balances. Available as a focused project for selected claims or problems with a particular payer.
Denial research · Payer follow-throughDocumentation
& medical necessity review
Review patient care reports, trip sheets, physician certification statements, and supporting records for documentation needs before and during the billing process.
PCR / PCS review · Dialysis / ESRD experienceRemote EMT documentation
& PCR training
Practical remote training for EMTs and ambulance crews on clear, accurate patient care reports (PCRs). Sessions focus on documenting the patient’s actual condition, assessment findings, care provided, and reasons for ambulance transport. Tailored coaching and report review help teams recognize documentation gaps and write more complete narratives.
Remote sessions · Crew education · PCR narrativesTMHP enrollment
& revalidation
Prepare and follow up on Texas Medicaid/TMHP enrollment and revalidation applications, including supporting documentation and provider information updates.
Texas Medicaid · TMHP enrollment · RevalidationCMS / Medicare
enrollment
Support CMS/Medicare provider enrollment, revalidation, and provider information updates through PECOS, along with NPI record maintenance through NPPES.
CMS / Medicare enrollment · PECOS · NPPESManaged care plan
enrollments
Support managed care plan enrollment and credentialing, including payer applications, network participation requirements, provider information updates, recredentialing, and contracting follow-up.
Managed care enrollment · Credentialing · Contracting supportNursing home
& contract billing
Invoice nursing homes and other contracted organizations on behalf of the ambulance company, based on its service agreements. Track outstanding balances and follow up on unpaid facility and contract invoices.
Facility invoicing · Contract accounts · Payment follow-upSubcontract accounts
& focused projects
Independent support for billing companies that need ambulance-specific account assistance, overflow capacity, backlog review, or help resolving difficult claims.
Defined scope · Ongoing or project-basedAmbulance billing
consulting
Practical guidance for new and established ambulance companies on billing workflows, denial patterns, payer follow-up, documentation processes, provider enrollment, and billing transitions. Remote consultations and focused reviews are tailored to your organization’s challenges, with a clear scope and fees agreed before work begins.
Workflow review · Denial trends · Practical guidanceCOLLECTION-BASED AMBULANCE BILLING
When you get paid,
we get paid.
Under a percentage-based ambulance billing agreement, our billing fee is calculated from payments received on the claims assigned to us. If a claim doesn’t pay, there’s no percentage-based billing fee on that claim.
Separately requested eligibility checks, authorization support, enrollment, training, consulting, and other add-on services have their own agreed fees. Your rate, covered claims, and included services are set out before work begins.
Discuss a billing arrangementWHY THE DETAILS MATTER
Better billing starts
with better information.
CMS research highlights the importance of documentation and medical necessity review. Pair that attention to detail with eligibility, benefits, and authorization support handled by Medical Billing Services.
Insufficient documentation
Share of improper ambulance payments attributed to insufficient documentation in CMS’s 2025 reporting period.
Read CMS data · Table D1Medical necessity
Share of improper ambulance payments attributed to medical necessity errors in the same CMS reporting period.
Read CMS data · Table D1We check authorization requirements.
Let us confirm whether prior authorization is required for planned ambulance transports. We can also prepare and submit requests using documentation your company provides, with payer follow-up included in the agreed scope.
Discuss authorization support Available alongside your current billing arrangementWe verify eligibility and benefits.
Have us check active coverage, benefits, plan limitations, and authorization requirements for your ambulance transports. Support can include Aetna, UnitedHealthcare, and other payers, subject to review of your plans and service needs.
Ask about eligibility support Keep your biller and add the verification support you needAbout the figures: CMS percentages describe categories of improper Medicare Fee-for-Service ambulance payments. They are not percentages of all ambulance claims, denial rates, or estimates of annual uncollected provider revenue. CMS source reviewed October 23, 2026. Add-on service scope and fees are agreed before work begins.
Have claims that need another look?A CLEAR WAY TO BEGIN
Understand the work.
Agree on the plan.
Keep communicating.
Talk through your needs.
Discuss your organization, payer mix, billing volume, and the accounts or projects that need attention.
Define the engagement.
Agree on responsibilities, access, communication, and pricing before work begins. Arrange appropriate secure workflows for records.
Work with a direct contact.
Communicate directly about account progress, outstanding documentation, and payer issues requiring your input.
MEET YOUR BILLING PARTNER
Billing expertise.
An operator’s perspective.
Autumn ReynosaOwner · Medical Billing Services LLC
I’ve worked in independent ambulance billing since 2007. As a former ambulance company co-owner, I understand the work behind the claim and the importance of steady cash flow.
EMT-Basic background. I held Texas EMT-Basic certification from 2005 to 2024—more than 18 years. My EMT background helps me understand the patient care behind an ambulance transport and what to look for when reviewing documentation and medical necessity.
Crew training experience. I’ve traveled to ambulance companies to provide on-site training for EMT crews in documentation and effective PCR writing. I now offer that practical guidance remotely, along with consulting to help ambulance companies improve documentation and billing workflows.
NEMT leadership. Separately, I have more than 13 years of leadership experience in non-emergency medical transportation (NEMT). That operations experience informs how I approach facility relationships, transportation coordination, and the day-to-day demands of running a transport organization.
My Medicare billing experience includes Novitas and WPS, along with historical experience with TrailBlazer. Through Medical Billing Services LLC, I welcome nationwide inquiries and review each provider’s state, payer mix, and requested services before accepting an engagement.
19+years of ambulance
billing experience
billing experience
18+years of EMT-Basic
certification (2005–2024)
certification (2005–2024)
13+years of NEMT
leadership experience
leadership experience
MEDICARE BILLING EXPERIENCE
NovitasWPSTrailBlazer (former contractor)HANDS-ON PLATFORM EXPERIENCE
MedisoftAvailityNovitaspherePECOSNPPESTMHPLET’S DISCUSS YOUR NEXT ACCOUNT
Request a call.
Let’s talk through
your billing needs.
Share your business details and a few times that work for you. I’ll reply by email to arrange a call. Nationwide inquiries are reviewed by operating state, payer mix, and requested services.
CALLS BY ARRANGEMENT
BUSINESS INQUIRIESmedicalbsllc@gmail.com Choose a callback request or an email reply below. Your preferred call time is confirmed by email.
For business inquiries only. Please do not include patient names, insurance cards, medical records, or other patient information.
A FEW HELPFUL ANSWERS
Before we talk.
How do I request a call?
Choose “Request a call” and include your phone number, preferred days and times, and time zone. Submit your request using the form. I’ll reply by email to coordinate a time. If you prefer to communicate by email, choose “Email reply.”
Can I add verification services while keeping my current biller?
Yes. Eligibility and benefits verification, first-of-month insurance re-verification, and prior authorization support can be arranged as add-on services. We review your state, payer mix, volume, documentation, and access needs, then agree on the work and fees before starting. A full billing transition is optional.
Can you train our EMTs or consult while we keep our biller?
Yes. Arrange remote documentation and PCR training for EMT crews or a focused billing consultation while keeping your current biller. We agree on topics, session format, any records needed, and fees before starting. Secure access or record exchange is arranged separately if a review requires patient information.
Can I try your service before moving my full account?
Yes. Start with selected difficult claims or an issue involving a particular payer. We review the available documentation and recovery options, then agree on the scope, fees, and follow-up. You can evaluate our communication and claims work before deciding whether broader billing services are right for your organization.
Do you offer services nationwide?
Nationwide inquiries are welcome. Before accepting an account, I review your service location, Medicare contractor, Medicaid and managed care plans, and requested scope to confirm the services I can support. My Medicare billing experience includes Novitas and WPS, along with historical experience with TrailBlazer. TMHP enrollment and revalidation is offered specifically for Texas.
Do you work directly with EMS agencies?
Yes. Direct billing engagements can include ambulance claims, payer follow-up, denials and appeals, and other agreed revenue cycle responsibilities. The scope is discussed before an engagement begins.
Can billing companies subcontract work to you?
Yes. Inquiries are welcome for account-specific support, overflow billing, denial and appeal work, and focused A/R projects. Responsibilities, systems, access, and communication are defined together.
What payers and transport types do you have experience with?
Experience includes Medicare Part B billing with Novitas and WPS and historical billing experience with TrailBlazer, along with Texas Medicaid/TMHP, Medicare Advantage, Medicaid managed care, and commercial insurance, with ambulance-specific BLS, ALS, mileage, and repetitive scheduled dialysis transport billing.
How is pricing determined?
Ongoing ambulance billing can be structured as a percentage of payments received on the claims assigned to us. An unpaid claim has no percentage-based billing fee under that arrangement. Separately requested add-on services and focused projects are quoted for their own scope. Your rate and included services are agreed in writing after reviewing volume, payer mix, account condition, and applicable state and payer requirements.
Does collection-based pricing apply to add-on services?
The collection-based fee applies to the claims covered by your percentage-based ambulance billing agreement. Separately ordered eligibility and benefits checks, monthly coverage rechecks, authorizations, enrollment, training, consulting, and other projects have their own agreed fees for the work performed. Those fees are separate from whether a payer approves or pays a claim.
Should I send patient records with my inquiry?
No. Please use this website and the listed email for business inquiries only. Secure record exchange, access requirements, and any necessary agreements are arranged separately before patient information is shared.