Koronis Revenue Solutions delivers specialized EMS billing services that go beyond the basics. Our team is committed to ensuring compliance with industry regulations such as HIPAA and CMS, while also maximizing revenue for EMS providers through advanced technology and personalized strategies. With expertise in claims coding, appeals, and denial management, we streamline your billing process, minimizing revenue loss and increasing cash flow. Our approach prioritizes client success by offering comprehensive reporting and analytics, empowering EMS agencies to stay informed and efficient, all while providing compassionate, professional support to patients.

At Koronis Revenue Solutions, we provide EMS billing and management services tailored to the unique needs of each EMS client. Our specialized expertise in 911, ambulance, and emergency billing enables us to identify untapped third-party payers, boosting revenue streams for emergency medical services. We manage every aspect of fire and EMS billing with precision, so our clients can focus on delivering critical patient care.

• Enhanced cash flow through optimized billing and reimbursement strategies.
• Comprehensive, full-service billing solutions managed by certified ambulance coders with extensive industry knowledge.
• Proactive claims management and appeals across all payer types, reducing denials and improving collections.
• Customized customer service that focuses on timely follow-ups and patient satisfaction.
• Custom-designed reimbursement programs that adapt to your agency’s specific needs.
• In-depth PCR documentation training to improve accuracy and streamline the billing process.
• Advanced technology and analytics that provide real-time insights, maximizing financial performance.

• Incomplete Charge Capture: Providers often fail to apply all relevant charges, leading to lost revenue opportunities.
• Service Code Misapplication: Incorrect usage of level of service codes can result in improper reimbursement, hindering financial performance.
• Missed Filing Deadlines: In-house teams may struggle to meet critical filing deadlines, risking denials and delayed payments.
• Complex Hospice Billing: Billing for hospice services can be particularly challenging, especially with modifiers like GW, which require careful attention.
• Navigating Facility Billing: Compliance with anti-kickback statutes while navigating facility billing adds another layer of complexity.
• Medical Necessity Documentation: Accurately determining and documenting medical necessity, including the use of the GY modifier, can be difficult and prone to errors.
• ICD-10 and Condition Code Errors: The incorrect application of ICD-10 codes and condition codes can lead to claim denials and revenue loss.
• Mileage Calculation Mistakes: Errors in calculating mileage, particularly fractional mileage, can further complicate billing processes.
• MVA Billing Issues: Accurately billing for motor vehicle accident (MVA) incidents can present unique challenges due to the complexities of insurance claims.
• Medicare/Medicaid Replacement Policy Complications: Navigating the billing landscape with Medicare/Medicaid replacement policies often leads to additional complications and potential denials.
• High Denial Rates and Appeals Process: Frequent claim denials, along with the complexities of the appeals process, can burden in-house billing teams, detracting from their efficiency and effectiveness.

• Patient Reporting Methodology: The choice between electronic and manual patient care reporting (PCR) can significantly impact efficiency and accuracy.
• Documentation Quality: Comprehensive and precise documentation is crucial for substantiating claims and ensuring proper reimbursement.
• Medical Necessity Establishment: Clearly establishing medical necessity is essential for successful claims processing and avoiding denials.
• Demographic and Insurance Information: Accurate capture of demographic and insurance data is vital for billing accuracy and effective follow-up.
• Supplemental Forms Acquisition: Obtaining necessary supplemental forms, such as Patient Care Services (PCS) forms, can streamline the billing process.
• Securing Signatures: Ensuring that patient and provider signatures are collected promptly can reduce delays in claims processing.
• Protocol Adherence: Strict adherence to dispatch and intervention protocols is necessary for accurate billing and compliance with regulations.
• Fee Schedule and Charge Master Management: Regularly updating fee schedules and charge masters ensures accurate billing and maximizes revenue potential.
• Claims Filing: Timely and accurate filing of claims with insurance companies is crucial for maintaining cash flow.
• Deductible Management: Effectively managing patient deductibles can enhance recovery rates and reduce write-offs.
• Timely Filing Compliance: Adhering to timely filing deadlines set by insurance companies is critical to avoid denials.
• Prompt PCR Submission: Ensuring prompt submission of PCRs to the billing company can accelerate the billing cycle.
• Payment Policy Enforcement: Establishing and enforcing clear payment policies can facilitate timely collections.
• Collection Policies Implementation: Efficient collection policies are essential for maximizing revenue and minimizing losses.
• Payment Options: Offering various payment options, including credit card payments, can enhance patient satisfaction and improve collection rates.
• Settlement Negotiation: Skilled negotiation of settlement offers can lead to improved recovery on outstanding accounts.
• Payer Mix Management: Understanding and managing the payer mix is important for forecasting revenue and optimizing billing strategies.
• Local Demographics Insight: A comprehensive understanding of local demographics can inform tailored billing approaches.
• Indigent Ratio Consideration: Considering the indigent ratio in your service area can guide strategic planning and resource allocation.