In the dynamic field of NEMT and EMT, accurate and efficient medical billing is paramount for the financial health of transportation service providers. MZ Medical Billing excels in this specialty, offering tailored billing solutions designed specifically for NEMT and EMT providers. Here's why we stand out:

Expertise in NEMT & EMT Billing:

• Our team comprises experienced professionals with specialized knowledge in NEMT and EMT billing.
• We understand the intricacies of billing for transportation services, including both non-emergency and emergency medical transportation.
• With expertise in coding requirements and documentation standards specific to transportation services, we ensure accurate billing and timely reimbursements for NEMT and EMT providers.

Tailored Solutions for Transportation Service Providers:

• MZ Medical Billing provides customized solutions to address the unique billing challenges faced by NEMT and EMT providers.
• From comprehensive revenue cycle management to coding audits and denial management, our services are tailored to optimize revenue and minimize administrative burden.
• By partnering with us, transportation service providers can focus on delivering safe and efficient medical transportation services while we handle the complexities of billing and revenue management.

Navigating State-Specific Guidelines:

• Compliance with state-specific guidelines is crucial for NEMT and EMT providers to ensure billing accuracy and regulatory compliance.
• MZ Medical Billing excels in navigating the variations in billing requirements across different states in the USA.
• Our team stays updated on state-specific regulations related to reimbursement rates, prior authorization requirements, and billing policies, ensuring compliance and mitigating the risk of audits or penalties.

Importance of State-Specific Guidelines:

• Variations in billing regulations across states necessitate a thorough understanding of state-specific guidelines for NEMT and EMT billing.
• MZ Medical Billing's expertise in state-specific billing requirements ensures that transportation service providers remain compliant and maximize revenue.
• By adhering to state-specific guidelines, providers can minimize billing errors, optimize reimbursements, and maintain financial stability.

Our Medical Billing Process

1. Patient Registration and Insurance Verification:
   • Patient Registration: We verify patient demographics, including name, date of birth, and address.
   • Insurance Verification: We verify patient insurance coverage, including the type of insurance, coverage limits, and any specific requirements or restrictions.
2. Medical Record Review and Coding:
   • Medical Record Review: We review medical records to identify all relevant services and procedures performed.
   • Coding: We assign relevant ICD-10 and CPT codes to ensure accurate billing.

Example Codes:

• Diagnosis Codes (ICD-10):
  • Z00.011: Encounter for medical examination for transportation
  • Z00.012: Encounter for medical examination for transportation, with medical condition
• Procedure Codes (CPT):
  • G0243: Non-emergency medical transportation, one-way
  • G0244: Non-emergency medical transportation, round-trip
  • G0245: Emergency medical transportation, one-way
  • G0246: Emergency medical transportation, round-trip

3. Claim Preparation and Submission:
   • Claim Preparation: We prepare claims using the coded information, including patient demographics, insurance information, and services and procedures performed.
   • Claim Submission: We submit claims to insurance providers electronically or on paper.
4. Claim Processing and Reimbursement:
   • Claim Processing: Insurance providers process claims, verifying services and procedures performed and patient insurance coverage.
   • Reimbursement: Insurance providers reimburse providers for services and procedures performed, based on insurance coverage and contracted rates.
5. Follow-up and Appeals:
   • Follow-up: We follow up with insurance providers to ensure claims have been processed and to address any issues or denials.
   • Appeals: If a claim is denied, we work with the provider to gather additional information and appeal the decision.

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In conclusion, MZ Medical Billing is committed to driving NEMT and EMT providers forward through precise and efficient billing solutions. With our expertise and attention to state-specific guidelines, we help providers navigate the complexities of medical transportation billing, allowing them to focus on their core mission of safely transporting patients to their destinations.

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NEMT Codes

• Procedure Codes
  • A0425: NEMT service, including transportation and escort.
  • S0209: NEMT service, including transportation and escort, with a higher level of complexity.
• ICD-10-CM Diagnosis Codes
  • R68.89: Diagnosis code for all NEMT claims.
• Place of Service Codes
  • 41: Land transportation.
  • 42: Air transportation.
• Modifiers
  • UJ: Modifier for night calls (transportation between 7pm and 7am).
• HCPCS Codes
  • T2001: Escort transportation.
  • A0180: Travel lodging for member.
  • A0190: Travel meals for member.
  • A0200: Travel lodging for escort.
  • A0210: Travel meals for escort.

EMT Codes

• Procedure Codes
  • 99281-99285: Emergency department services.
• ICD-10-CM Diagnosis Codes
  • S00-S09: Injuries to the head, face, and neck.
  • S10-S19: Injuries to the thorax.
  • S20-S29: Injuries to the abdomen.
  • S30-S39: Injuries to the lower extremities.
  • S40-S49: Injuries to the upper extremities.
  • S50-S59: Injuries to the back and spine.
  • S60-S69: Injuries to the pelvis and perineum.
  • S70-S79: Injuries to the lower back and spine.
  • S80-S89: Injuries to the upper back and spine.
  • S90-S99: Injuries to the face and head.
• Place of Service Codes
  • 23: Emergency room.
• Modifiers
  • EMG: Emergency indicator.
• CPT/HCPCS Procedure Codes
  • 99291-99292: Critical care services.
  • 99293-99294: Observation services.
  • 99295-99296: Consultation services.
  • 99297-99298: Other services.

Billing and Coding Guidelines

• NEMT Billing Guidelines
  • Use the correct procedure codes for NEMT services.
  • Use the correct ICD-10-CM diagnosis codes for NEMT services.
  • Use the correct place of service codes for NEMT services.
  • Use the correct modifiers for NEMT services.
  • Use the correct HCPCS codes for NEMT services.
• EMT Billing Guidelines
  • Use the correct procedure codes for EMT services.
  • Use the correct ICD-10-CM diagnosis codes for EMT services.
  • Use the correct place of service codes for EMT services.
  • Use the correct modifiers for EMT services.
  • Use the correct CPT/HCPCS procedure codes for EMT services.

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