Losing thousands of dollars to rejected trips, denied claims, and slow NEMT billing processes? You need to work with a professional billing company that understands the requirements of Medicaid, Medicare, and private insurance claims for your transportation business. Our specialized NEMT billing services are designed to solve your most pressing challenges while maximizing your reimbursements and minimizing your administrative headaches.
Managing your non-medical emergency billing operations manually puts your claims at risk of costly errors, constant rework, and team burnout. However, our NEMT revenue cycle management (RCM) introduces you to modern, technology-driven billing solutions that track everything and reform your NEMT claim submission services by 3x.
Looking for a NEMT billing company that optimizes all revenue opportunities for your transport services. From claim submission to reconciliation, we manage the complete billing cycle for non-emergency medical transportation providers.
Medical Necessity Documentation
We ensure every trip you bill is supported by proper clinical evidence, reducing denials and rejected claims. Our team reviews, validates, and maintains complete documentation in compliance with CMS, Medicaid, and broker requirements.
In NEMT billing, mileage documentation is one of the most common causes of claim denials and revenue loss. Even minor discrepancies can trigger rejected claims, delayed payments, and audit flags.
We follow proper Trip & Mileage Documentation Rules:
Loaded vs. Unloaded Miles
Only bill for miles with the patient on board; verify non-billable travel separately.
Accurate Trip Details
Only bill for miles with the patient on board; verify non-billable travel separately.
Mapping System Validation
Cross-check miles using approved mapping tools to comply with Medicaid and broker requirements.
Trip Type Classification
Correctly code ambulatory, wheelchair, or stretcher trips to match payer policies.
Authorization & Eligibility
Confirm prior authorizations and patient eligibility before billing.
Audit-Ready Records
Maintain HIPAA-compliant records, including signatures, trip logs, and medical necessity documentation.
Broker & State Compliance
ModivCare, MTM, Veyo, LogistiCare, and state Medicaid-specific documentation rules are strictly followed.
HIPAA & Medicaid Approved
All documentation follows federal and state guidelines for maximum claim approval rates.
Stop leaving money on the table; our Medicaid NEMT billing specialists. FAST. SECURE. COMPLIANT. Reimbursements You Can Trust!
NEMT billing isn’t like standard medical billing—it requires expert knowledge of each state’s Medicaid rules. Coverage, authorizations, documentation, and reimbursement vary by state. Our team keeps up with all 50 states, so your claims are accurate, compliant, and paid faster.
We keep you covered for everything!
CMS Medicaid Transportation Guidelines
State Medicaid NEMT Programs
OIG Compliance
CMS CY 2026 Updates
No Surprises Act
HIPAA & PHI Transport Documentation
State Broker Compliance
Ambulatory Transport
Wheelchair Transport
Stretcher / Gurney Transport
Stair Chair Transport
Oxygen Transport
Bariatric Transport
Behavioral Health Transport
Dialysis Transport
Long-Distance / Inter-Facility Transport
Recurring / Scheduled Trips
ER Follow-Up Transport
A0100 – Taxi
A0110 – Nonemergency Transportation & Attendants
A0120 – Nonemergency Transportation: Mini‑Van
A0130 – Wheelchair Van
A0160 – Mileage, Per Mile
A0170 – Escort Services
S0209 – Wheelchair Van Mileage, Per Mile
HQ – Medically necessary escort/attendant
QH – Non-emergency ambulance with qualified attendant
QM / QN – Mileage for stretcher (QM) or wheelchair (QN) trips
XE / 59 – Distinct or separate transport services
22 – Increased service for trips requiring extra resources
U Modifiers (U1–U9) – Level‑of‑care or condition indicators for some Medicaid programs.
Essential documentation includes physician certification statements (PCS), trip logs with dates and times, pick-up and drop-off locations with addresses, loaded mileage, patient signatures, driver information, and medical necessity justification linked to diagnosis codes.
Most clients see measurable improvements within the first 60-90 days, with significant increases in clean claim rates, reduced days in A/R, and improved cash flow becoming evident within the first quarter of partnership.
Absolutely. We specialize in both traditional Medicare and Medicaid programs, as well as Medicare Advantage and Medicaid managed care organizations. Each payer has unique requirements, and we’re experts in all of them.
