Emergency Medical Services (EMS/Ambulance) Billing Solutions

ApexonHealth specializes in helping EMS companies transform their revenue cycle management

Newton AI Automation solutions

Our solutions combine Machine Learning, Robotic Process Automation (RPA), and Business Process Management to enable our EMS customers to reduce costs, improve cash flow, and increase customer satisfaction.

Years Supporting ED Coding & Billing

Trips Managed Per Year

Bots Deployed

EMS Experienced Employees

EMS specific AI solutions

 

ApexonHealth, over the last 15+ years, has been supporting 700+ambulance providers to get the reimbursements faster using expert staff and advanced AI-driven automation solutions. Key Highlights of our EMS automation solution include:

 

  • Auto coding Solution which accurately codes LOS, Medical Necessity, Transport priority, and ICD-10
  • An intelligent workflow that can integrate with numerous ePCRs and ingest data in various ePCR formats
  • 5%+ higher reimbursements compared to national standards
  • OIG Compliant and mathematically proven QA Audit techniques

We are consistently achieving the above by increasing the performance of the experienced EMS RCM operations team. Some of the advanced solutions that create sustainable revenue and margins for all stakeholders include:

  • AI-driven assisted coding solution
  • Machine learning-driven denial prediction models (customized for your operating environment)
  • AR Automation
  • Billing Automation
  • Advance BI reporting
  • Intelligent workflow (integrating above components)
  • An expert team providing pre-billing, coding, and billing services

Solution Benefits

Improvement in cash per trip by 2%

Productivity improvement by upto 40%

Denial reduction by 20%

Improve collections 2X faster

Accuracy upto 99%

CDI issues reduced by 50%

AR Days reduced by 30%

Increase in revenue by 1 to 2%

Solution Features

EMS Billling Services
  • Pre-Billing Services
  • Eligibility & Demo validation
  • EMS coding services
  • Charge Entry
  • AR Follow-up
  • Payment Posting

Newton AI ED Solutions
  • Eligibility automation
  • EMS Assisted coding solution
  • Charge Entry Automation
  • Denial Prediction
  • AR Analytics & Automation
  • Payment Posting Automation
  • QA Audit solutions

Reporting & Actionable insights
  • Operational Reports
  • Revenue Cycle Financials
  • Identification of Anomalous Providers
  • Revenue Forecasting

Seamlessly integrate our Newton AI Automation Tools & RPA BOTs to boost your revenue

Newton AI Assisted-Coding tool

Uses our ED/UC AI-assisted coding platform that integrates Machine learning, Natural Language Processing (NLP), and Robotic Process Automation (RPA) to automate medical coding. Our coding solution ingests PDF chart, EMR data, and also other formats to extract the data required for assisted-coding and error prediction, accounts for ‘Critical to Quality Fields’ and generates the automated results for LOS, CPT, ICD, MIPS, and Modifiers along with probable reasons and validates medical necessity. In the Real-time audit process, the efficiency increases by allowing the team to focus on the most critical charts while drastically reducing your overall coding costs.

Error Prediction tool

This AI-based advanced predictive algorithm touches all charts predicting the erroneously coded chart and generating audit samples; it works equally well on manually or auto-coded charts. It validates the correctness of coding and utilizes RAT stat models for random sampling. Besides following an OIG stipulated methodology, it also gives auditors recommendations and prioritizes the charts based on anticipated dollar loss.

EMS Quality Audit Models(QA)

Our ED/UC QA models primarily follow a three-stage quality control process. It starts with establishing current error rates by randomly picking-up sample claims for a statistically significant volume and auditing them to establish benchmark accuracy. Erroneous claims are picked in the second stage using various techniques like Best fit classification model, Loss Recovery Model & OIG Compliance Algorithm, etc. Finally, we establish audit volumes to achieve the required SLA and manage focused trip audits through a manual audit.

Billing Automation Tool

We use Robotic Process Automation to automate billing processes such as Eligibility check, Charge Entry, Payment posting & Remit, which reduces manual billing errors and helps improved compliance standards.

AR Bots & Touch Analytics

AR Bots consists of automated Aging (ATB) Analysis, Work Queue Prioritization, Auto Analysis & Claims Status, and take actions based on updated status. Our AR bots with predictive modeling help follow-ups on A/R aging and update the status. This deep learning algorithm coupled with ED/UC specialty-driven BI tools enables us to provide insights to Claims touch efficiencies, AR allocation avoidance, and outstanding collectibles.

SensER

Provides next-generation advanced analytics to deliver actionable intelligence for ER leaders. SensER aggregates data from multiple transaction systems – revenue cycle management, the hospital’s transaction system, physician’s calendar, patient data, and other available sources, to derive critical Operational, Financial, Clinical Key Performance Indicators (KPIs) and creates analytical models. Such in-depth and detailed analysis of the organizational performance helps physicians improve the overall quality and cost of delivering care.

Emergency Medical services Billing Case Study

Talk to our 

Business Consultant

Ph: 1-866-846-3329

Email: info@apexonhealth.com

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