Data-Driven EMS Revenue Cycle & Operational Intelligence

We analyze revenue-cycle performance across the full lifecycle of an EMS encounter, from incident documentation through billing and reimbursement.

Scope:

Identification of unbilled and at-risk EMS runs

Quantification of revenue exposure tied to documentation defects, processing delays, or denials

Review of billing timelines, aging, and payer response patterns

Analysis of operational handoffs that impact billing completeness and timeliness

Purpose: 

To provide agency leadership with a clear, data-supported understanding of where revenue leakage exists and what operational factors are contributing to it.

We conduct data quality assessments across EMS source systems to evaluate reliability, completeness, and consistency.

Scope: 

Review of data integrity across CAD, ePCR, and billing systems

Identification of missing, inconsistent, or conflicting data elements

Evaluation of system handoffs and integration points that affect data accuracy

Documentation of data governance gaps impacting analytics and reporting

Purpose:

To ensure leadership understands the condition of the underlying data used for compliance, reporting, and financial decision-making.

We assess documentation completeness, consistency, and timeliness as they relate to compliance expectations and downstream financial outcomes.

Scope:

Review of required documentation elements and common exception patterns

Identification of documentation issues linked to denials, downcoding, or delayed claims

Evaluation of risk areas affecting medical necessity support, signatures, timestamps, and narratives

Assessment of documentation practices relative to audit readiness and compliance exposure

Purpose: 

To identify documentation-related compliance risk and provide agencies with factual insight into areas requiring attention or remediation.

We develop structured dashboards intended to support executive oversight and operational accountability.

Scope:

Definition of performance indicators relevant to documentation quality, billing throughput, and reimbursement outcomes

Development of role-appropriate views for command staff, finance, and compliance

Drill-down capability to support review by station, unit, time period, or workflow stage

Standardized reporting to reduce reliance on ad hoc or manual analysis

Purpose:

To provide leadership with consistent, repeatable visibility into performance trends and operational conditions.