Success Story Healthcare

EMS Firm Recovers More than 50% Savings in FTE

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In the world of emergency medical services (EMS), new legislative laws are occasionally imposed, or amendments or repeals are made on existing ones. They face frequent changes to the reimbursement formula, the addition of new billable services, and even bans on certain payments.

Only a flexible, agile, and automated digital system can cater to these rapid needs and assure compliance. The customer, an EMS firm that serves more than 2 million ambulance trips a year, wanted to deploy a low-cost SaaS solution that automates EMS coding, manages fluctuating volumes, and adheres to regulations.

the Results

Key Outcomes

Through ApexEMS, the customer was able to realize the benefits of:

More than 50% savings in FTE & related costs

8-10% reduction in financial leakage through improvements in clinical documentation

40-50% reduction in audit efforts

3-5% improvements in quality score

The challenge

2 key areas

While processing 5,000 ambulance trips on a daily basis, the client found it difficult to:

Filing Claims in Time File the high volumes of claims in time and with the required accuracy

Eliminating Revenue Leakage Establish consistency in coding to eliminate revenue leakage

The Solution

4 key areas

Apexon implemented the ApexEMS coding solution to simplify the medical coding process through machine learning algorithms and Driverless AI, that: