Session Track: Revenue Cycle

Provides 1 credit toward the American Ambulance Association Ambulance Revenue Cycle Management Specialist (ARCMS) certificate.

Session 7a Compliance Overview

Compliance is central to a billing office function. Topics include OIG, HHS, and CMS oversight, audit readiness, PHI/HIPAA protections, and practical risk management steps for billing teams. Participants will leave with strategies to strengthen compliance culture, and safeguard their organizations from costly errors.

Session 7b To Refund or Not To Refund?

Framed with the creativity of the Bootcamp’s Payer grouping and using a Shakespeare metaphor, this session examines refunds by payer groups, framing refunds as a crucial part of compliance and providing management strategies to process refunds and tips to prevent them.

Provides 1 credit toward the American Ambulance Association Ambulance Revenue Cycle Management Specialist (ARCMS) certificate.

This session explores the complex commercial insurance landscape, covering federal and state-level requirements, contract strategies, and the impact of surprise billing regulations. Faculty will discuss negotiation tactics with insurers, appeals processes, balance billing issues, and future policy shifts. Case examples will highlight how ambulance providers can navigate underpayment, denials, and regulatory pressure.

Provides 1 credit toward the American Ambulance Association Ambulance Revenue Cycle Management Specialist (ARCMS) certificate.

This session uses the Bootcamp’s HAND and ARM metaphor to illustrate payer group differences and responsibilities. Topics include distinctions between uninsured populations, contracts and facility billing (Part A), Medicaid, Medicare/federal/VA billing, commercial payers (ERISA, in-state, out-of-state), and Liability (auto/workers’ compensation). Faculty will also cover the ARMS acronym to explain “four things by payer”:  allowed amounts, regulations, medical necessity definitions, and scheduled transportation issues (dispatching, prior authorization, PCS / CMN forms).

Provides 1 credit toward the American Ambulance Association Ambulance Revenue Cycle Management Specialist (ARCMS) certificate.

A deep dive into the coding mechanics that drive reimbursement, including ALS/BLS distinctions, the use of primary and secondary modifiers, and itemized vs. bundled billing approaches. Faculty will guide learners through real-world claim scenarios, demonstrating how correct HCPC/ICD-10 coding and modifier usage can prevent denials, ensure compliance, and maximize appropriate payment.

Provides 1 credit toward the American Ambulance Association Ambulance Revenue Cycle Management Specialist (ARCMS) certificate.

Taking learners step-by-step through the life of an ambulance claim, this session covers MAC functions, claim lifecycle stages, and essential billing forms (1500, UB-04, and electronic 837P). Participants will distinguish emergency vs. non-emergency transports, compare ambulance vs. non-emergency medical transportation (NEMT), and understand the role of charges, supporting documentation (PCR, PCS/CMN), and modern electronic claim submissions in ensuring accurate and timely reimbursement.

Provides 1 credit toward the American Ambulance Association Ambulance Revenue Cycle Management Specialist (ARCMS) certificate.

This session introduces the structural underpinnings of ambulance billing and compliance. Participants will learn about Medicare enrollment processes (855 forms, NPIs), physician fee schedules/ ambulance inflation factor (AIF), and billing software essentials. The session also explores how to align these foundational elements with mentorship and team development strategies, ensuring billing staff have both the tools and guidance to grow in their roles.