Maximizing Revenue for Ambulance Services
Dedicated to Enhancing Revenue and Reducing Risks for EMS Providers.
Optimizing Revenue for Ambulance Service Providers
Revenue Optimization Solutions, LLC (RevOPS) provides financial solutions to EMS/ambulance services providers. RevOPS works with clients to improve financial performance by developing unique solutions to optimize revenue and income growth.
Our customized approaches help clients generate additional revenue to close the gap between the amount insurance carriers, like Medicaid, are paying for ALS/BLS/Air and associated services, and the actual cost of those services.
RevOPS strives to provide unsurpassed customer service and value-based pricing to all of its clients.
RevOPS staff have over 15 years of experience providing solutions to some of the largest ambulance services providers and governmental entities in the country.
Program Development & Approvals
With the roll-out of the Texas Ambulance Services Supplemental Payment Program, RevOPS provides program approval and cost model development services to get you approved to take part in this program faster than if you were to do it on your own.
RevOPS is a leader in getting ambulance services providers approved to participate in the Texas Ambulance Services Supplemental Payment Program. RevOPS presents the required information for approval quickly, and in a way that minimizes questions from the State; thus, allowing you to become an approved provider sooner and generate more revenue.
RevOPS is also a leader in developing cost models that optimize revenue under the State program while mitigating the risk of audit findings.
Staff of RevOPS worked with the State of Texas to develop the Ambulance Services Supplemental Payment Program and they continue to provide consultation to improve this program. RevOPS staff have the experience and knowledge to know what the state is looking for so you can expedite the approval process and generate more revenue.
Revenue Analysis
Our team evaluates your operations to identify and maximize revenue opportunities.
Compliance Support
Expert guidance to help you navigate Texas’s compliance regulations with ease.
Audit Mitigation
Proactive strategies to minimize audit risks and protect your funding.
Cost Reporting
RevOPS provides unsurpassed cost reporting services for providers participating in the Texas Ambulance Services Supplemental Payment Program.
The Texas Ambulance Services Supplemental Payment Program uses a complex annual cost report as the mechanism by which you receive revenue as part of this opportunity. It is important to make sure all sections of the cost report are completed with sufficient support to optimize revenue and mitigate audit risk. The experience of RevOPS staff in developing this program with the State and in preparing cost reports will allow you to generate the maximum allowable revenue under this program while mitigating audit risk.
RevOPS staff worked with the state to develop the cost report for the Texas Ambulance Services Supplemental Payment Program and have been submitting cost reports as part of this program dating back to 2009. Staff of RevOPS are certified to prepare all provider cost reports for the Texas Ambulance Services Supplemental Payment Program, and this experience will allow you to prepare and submit the costs reports quickly and efficiently, with an eye towards revenue optimization and audit risk mitigation.
Partnering with SampleRevenue was the best decision we made—they turned our challenges into opportunities.
John D.
Fire Chief, Austin EMS
SampleRevenue consistently delivers top-notch solutions, combining professionalism with in-depth knowledge of the industry.
Sarah M.
Director of Operations, Houston EMS
We couldn’t be happier with the results—they’ve exceeded our expectations at every step of the process.
David L.
EMS Coordinator, Dallas Fire-Rescue
Charge Master Rebalancing
Determining the optimal charge for the services you provide impacts not only the amount you will receive on the front-end from you billing operations, but will have a significant impact on the back-end revenue generated from the Texas Ambulance Services Supplemental Payment Program. RevOPS provides unsurpassed charge master rebalancing to identify the optimal to charge today and in the future for the services you provide.
Optimizing charges is essential for bottom-line financial performance and maximizing revenues as part of the Texas Ambulance Services Supplemental Payment Program. Given state and federal rules surrounding Medicaid and uninsured reimbursements and charges, it will be critical for you to review how you set your charges for your BLS, ALS, mileage, supplies, and other services. The experience of RevOPS staff in this area will allow you to see where you are today and where you need to go in the future to optimize revenue generation.
The RevOPS staff understands the sometimes complicated political and community pressures surrounding making changes to your charges. RevOPS uses data analytics to present a range of options to you that will show the benefit of the increase in charges to you in incremental revenue. We also present a range of options that will allow you to implement these charge adjustments immediately or over several years.
Cost Allocation and Accounting
RevOPS provides cost allocation and cost accounting services to optimize revenue and minimize audit risk. Staff of RevOPS are certified in Medicaid cost allocation and accounting, and are able to identify all allowable costs for inclusion in the Texas Ambulance Services Supplemental Payment Program.
Given the reimbursement methodology included in the Texas Ambulance Services Supplemental Payment Program, it is essential to account for all allowable costs related to ambulance/EMS service delivery. RevOPS is a leader in accounting for, and allocating costs to service categories the will optimize revenue to you in a federally compliant manner.
RevOPS approaches each engagement with an eye towards mitigating audit risk while optimizing what is allowable under federal and state rules and regulations. The experience of RevOPS staff is unsurpassed when it comes to identifying allowable costs for inclusion in the Texas Ambulance Services Medicaid Supplemental Payment Program.
The Texas Ambulance Services Supplemental Payment Program
The Texas Ambulance Services Supplemental Payment Program became effective in February 2009, with revisions made in August 2011, March 2012, and March 2013 that allows approved governmental ambulance services providers across Texas to receive supplemental payments associated with the cost of providing services to Medicaid beneficiaries and uninsured patients.
It is recognized that the cost of providing ambulance services to patients is very high. It is also recognized that the majority of insurance that patients carry, or the patient’s ability to pay does not come close to covering the cost of providing those ambulance services. In fact, patients using Medicaid insurance typically cover only 30-40 percent of the cost of providing the services received, while it is significantly less for those patients that do not have insurance. When patients with Medicaid or those that do not have insurance represent 40 percent or more of your business, as is the case in Texas, it creates financial stress for an organization’s bottom line.
The Texas Ambulance Services Supplemental Payment Program, that a member of the RevOPS team helped develop and implement, is designed to help providers offset the loss/write-off related to Medicaid beneficiaries and those without third party insuranc
Why You Need RevOPS
With the recent changes to the Texas Ambulance Services Supplemental Payment Program, there is great revenue potential for providers in Texas; however, with this potential comes increased complexity and risk of audit findings if the program is not implemented correctly. The program changes in 2012 and 2013 make it critical that providers have a solid understanding of the program along with the knowledge of the latest developments coming from the Texas Health and Human Services Commission (HHSC) and the Centers for Medicare and Medicaid Services (CMS) – RevOPS has that understanding and knowledge.
To optimize revenue, providers need a firm that has team members with the experience of working with fire departments and EMS agencies in Texas on program implementations and cost reporting, and that have the knowledge and experience working with Medicaid agencies at the state and federal levels. The program in Texas will not be as easy to implement as some may imply, and RevOPS can provide the experience you need to optimize revenue, and address some of the unique challenges that you will face during implementation: