Reduce Administrative Burden and Promote Maximum Reimbursement
Complicated reimbursement rules and compliance requirements make it difficult to process medical transport claims efficiently, cleanly, and compliantly to avoid denials and receive reimbursement as quickly as possible. Government and commercial payers each have different rules, and keeping up with them is time-consuming and inefficient for EMS billing teams.
Golden Hour® Revenue Cycle Management (RCM) Services relieve the RCM burden so that air and ground medical transport providers can concentrate on delivering care. Our fine-tuned approach to RCM combines deep, human expertise with proprietary technology to promote maximum reimbursement in compliance with government and EMS industry regulations and payer requirements.
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Benefits of Golden Hour RCM Services
Billing
Specialized ambulance billing
Maximize compliant collections
Minimize downgrades and denials
Low days outstanding
Electronic claims submission
Compliance management
Account Management
Customer success manager
Primary point of contact
Quarterly program review
Compliance
Certified compliance officers
Monitoring of CMS guidelines
Annual compliance audits
Review clinical documentation
Analytics
Predictive revenue analytics
Program operational analytics
Collections tracking
Coding
Team of certified coders
ICD-9 / ICD-10
Level of Service
Ambulance condition codes
Integrations
ZOLL® Dispatch
ZOLL emsCharts®
ZOLL Care Exchange
NEMSIS Compliance
NEMSIS v2.2 - v3.5.0
Certified In-House Experts
CHC, CAC, CACO, CAPO, CPC
Compliance-centric RCM Services Drive Revenue Integrity
Compliant clinical documentation that is aligned with Centers for Medicare & Medicaid Services (CMS) guidelines and would pass any payer audit is critical. Without it, agencies risk incurring fines and even possible exclusion from programs like Medicare. Golden Hour RCM Services provide guidance on creating compliant documentation that meets Medicare and commercial payer guidelines to prove medical necessity. Our multi-faceted approach to compliance applies to every step of the revenue cycle to ensure revenue integrity and provide peace of mind, should an audit occur.
Billing Medical Transport Done Right the First Time
EMS agencies face numerous billing challenges specific to air and ground medical transport. Healthcare billing and collection services don’t understand the EMS industry or what it takes to prevent delays and denials and submit a clean claim. From ambulances to helicopters and fixed-wing transports, Golden Hour RCM experts know how to get medical transport billing done right the first time. With over 140 billing professionals and more than 270 years of combined EMS billing experience, we understand the unique challenges of the industry and how to ensure that agencies are paid quickly and compliantly.
