Services
Scope of Work
RescueMed Financial utilizes the best ambulance-specific billing software. Traumasoft practice management system allows claims to flow through the following process swiftly. Our team processes and submits most claims in two business days or less.
Data Gathering
Our team will work with your ePCR vendor to build the integration necessary to automate the import of billing data from the ePCR system to the billing system. Billing data will be imported into Traumasoft daily and queued for processing.
Verification
Our pre-billing team reviews each ePCR and attached paperwork to verify all the necessary data fields for billing are completed and the required signatures are present. Insurance verification, discovery, and demographic verification is completed to ensure accurate information.
Charge Assignment and Coding
Our professionally certified coding team reviews each record, applies the appropriate charges based on level of care and assigns the most appropriate ICD-10 code. Unlike our competitors, RescueMed Financial does not use AI to code your claims. All our coders have obtained their Certified Professional Coders (CPC), Certified Ambulance Coder (CAC), or both.
Claim Submission
Claims eligible for electronic submission are filed through an electronic clearinghouse. We maintain an impressive 98.5% first-pass clean claim rate. All claims are reviewed and prepared for electronic submission to the clearinghouse each business day. Paper claims are printed on the appropriate CMS-1500 form and mailed to payers who do not accept electronic claim submissions.
Appeals
Claims are often denied or underpaid incorrectly, resulting in delays in the revenue cycle. Our dedicated appeals team brings extensive experience and knowledge of regulations necessary to boost revenue collection. Our team has an impressive 75% success rate in overturning the denial or underpayment on the first level of appeal.
Reporting and Analytics
Claims are often underpaid or denied incorrectly resulting in delays in the revenue cycle. We provide comprehensive reports and analytics to give you insights into your financial performance, enabling informed decision-making and strategic planning. Our reports are customizable to meet your specific needs.
Traumasoft practice management system has powerful reporting capabilities. Detailed reports can be created from nearly any data point completed in the system. These reports can be scheduled for auto delivery to you at an interval of your choice.
Documentation Training
Our seasoned and entertaining team will assess the specific documentation needs of your service and create customized documentation training to suit your needs. Training sessions can be performed in person or virtually.
Audit Services
Our audit services involve a comprehensive review and analysis of EMS billing practices to ensure accuracy, compliance and optimization of revenue. By utilizing our audit services, you can safeguard against revenue leakage, ensure regulatory compliance, and maintain a smooth, efficient billing process. Some of these services include:
- Compliance verification
- Claim accuracy review
- Revenue cycle optimization
- Denial management and appeals review
- Documentation assessment
- Training and education
- Reporting and recommendations
AR Cleanup Services
We offer specialized AR cleanup services designed to restore financial stability. Whether you need a quick cleanup to address immediate concerns or a long-term overhaul while your team continues billing, we’re here to help.
