Specialty Care Transport (SCT) Billing: What EMS Agencies Need to Get Right
Specialty care transport is one of the most misunderstood categories in ambulance billing, and also one of the most consequential to get right. When a claim for SCT is coded and documented correctly, it reimburses at a meaningfully higher rate than standard advanced...
Getting Ready for FY27: A School-Based Medicaid Billing Checklist for the New School Year
For special education directors and school business administrators across Massachusetts, July marks a genuine reset. Staff are onboarding, service schedules are being rebuilt, and the new fiscal year is underway. It is also the single best window all year to get...
Medical Billing In-House vs. Outsourcing: What Healthcare Organizations Need to Know
For EMS directors, school district administrators, and specialty clinic managers, medical billing is one of the most consequential operational decisions on the table. It affects cash flow, staff workload, compliance exposure, and ultimately the financial health of the...
Understanding Medicare Prior Authorization for Ambulance Transports
For EMS agencies and ambulance suppliers that regularly transport patients to dialysis, wound care, or other recurring treatment appointments, Medicare prior authorization is not an optional administrative step. It is a program requirement with direct revenue...
End-of-Year School Medicaid Billing Checklist: What Massachusetts Districts Should Complete Before Summer
For special education directors and school district administrators in Massachusetts, the final weeks of the school year are anything but quiet. End-of-year IEP meetings, staff transitions, student assessments, and budget planning all compete for attention at once. In...
What EMS Agencies Need to Know About Medicare Ambulance Cost Reporting
For EMS directors and ambulance billing managers, Medicare reimbursement has always carried a familiar frustration. Payment rates have not kept pace with the actual cost of delivering ground ambulance services, and for decades that gap was difficult to quantify in a...
Why Behavioral Health Claims Get Denied, and How Clinics Can Improve Reimbursement
Behavioral health clinics operate in one of the most challenging billing environments in healthcare. Mental health and substance use claims are denied at significantly higher rates than other medical specialties, and the resolution process is often longer, more...
EMS Billing Software vs Outsourcing: Why Many Ambulance Services Choose a Billing Partner
Every EMS agency eventually faces the same question. Should we run ambulance billing internally with dedicated software, or should we outsource it to a specialized billing partner? On the surface, the choice looks like a straightforward make or buy decision. In...
How Massachusetts School Districts Can Prepare for a School Medicaid Billing Audit
For Massachusetts school districts, the School Based Medicaid Program (SBMP) represents one of the most important non tax revenue streams available, helping fund the speech therapists, occupational therapists, school nurses, and behavioral health providers who serve...
Understanding Medicare Ambulance Reimbursement in 2026: What EMS Agencies Should Prepare For
For EMS agencies across the country, Medicare reimbursement is the single largest revenue stream and the most volatile one. Every fee schedule change, every legislative extension, and every CMS rule update has a direct impact on whether your agency can fund staffing,...
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