How EMS Revenue Cycle Management Improved Cash Flow By $1M+
After a targeted audit uncovered missed revenue opportunities and billing issues that internal processes had overlooked, Saint Clare's Health System partnered with Coronis Health to strengthen EMS revenue cycle management. The engagement reduced AR and denials across all categories by 45% while improving cash flow by $1.1 million.
Client Profile
Saint Clare's Health System
- Client
- A large multi-hospital health system providing high-volume emergency medical transport services throughout northern New Jersey
- Specialty
- Emergency medical services
- Location
- Northern New Jersey
- Size
- Multi-hospital health system with approximately 40,000 annual ambulance transports and more than $19 million in annual EMS gross revenue
- Scope
- EMS revenue cycle management, ambulance billing optimization and compliance review
The Challenge
Uncover Hidden Revenue Opportunities
Existing EMS revenue cycle management was limiting Saint Clare’s ability to maximize reimbursement and maintain efficient AR performance. Ambulance billing was managed internally, but a targeted audit uncovered unrealized billable events, outdated charge structures and coding compliance issues reducing reimbursement. Days outstanding had stood at 140 days.
Specialized ambulance revenue cycle management expertise, stronger EMS compliance and more accurate documentation were needed to improve reimbursement, accelerate collections and create a more efficient billing process.
The Coronis Health Approach
Coronis Health Strengthened EMS Revenue Cycle Management
Coronis Health strengthened EMS revenue cycle management by identifying Saint Clare’s operational issues slowing reimbursement and creating revenue loss. A comprehensive audit, compliance review and documentation training program helped improve billing accuracy while providing Saint Clare’s a stronger long-term financial foundation.
- Revenue assessment — audited ambulance claims to surface unrealized billable events reducing reimbursement
- Compliance review — examined billing and coding practices to flag compliance gaps putting revenue at risk
- Rate optimization — reviewed charge structures and contracted rates for outdated pricing
- Documentation improvement — trained field personnel on documentation requirements to improve EMS medical billing accuracy, support compliant coding and strengthen reimbursement performance
The Results
Improved EMS Billing Services Performance
EMS billing services performance improved as Coronis Health reduced accounts receivable, strengthened compliance and improved reimbursement across the health system’s ambulance operations. Better documentation, cleaner coding and specialized EMS expertise accelerated collections while creating a stronger financial foundation for long-term performance.
What the audit identified:
- Unrealized billing: more than $200,000 in additional annual billable events
- Compliance exposure: approximately $300,000 a year at risk from billing and coding gaps
- Charge and rate gaps: approximately $325,000 a year in outdated charges and contracted rates
Disclaimer: All results are based on internal reporting from this specific client engagement and are not guaranteed outcomes.
Why It Matters for EMS Organizations
EMS providers operate in a highly specialized reimbursement environment where documentation, coding and compliance can directly affect financial performance. Strong EMS revenue cycle management, experienced EMS billing services and proactive EMS compliance help reduce AR and uncover revenue that might otherwise remain hidden.
Emergency Medical Services
See where EMS RCM can help reduce accounts receivable, strengthen reimbursement and uncover revenue opportunities.
Let's discuss your transformation
Wherever you want revenue cycle operations to go, we can help!
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step 1
Connect
Tell us about your organization, specialty and revenue transformation goals.
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step 2
Evaluate
We'll evaluate your current state and identify strategic opportunities for improvement.
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step 3
Transform
Together we'll implement solutions that improve performance from day one.
