Revenue Recovery AI Automated

Your EMS company is leaking money every day. We find it automatically.

Missed modifiers. Underbilled trips. Silent denials. Forgotten claims. Most EMS operators lose 8–22% of earned revenue and never see it. EMS Ops Hub scans every trip, every charge, every payer rule — and surfaces every dollar still on the table.

8–22%
Avg Revenue Leakage
Per fleet, pre-platform
$340K
Recovered / 10 Trucks
Annualized average
47
Leakage Detectors
Running per trip
<60s
Time To Surface
From trip close
The Reality

The money you earned. The money you actually keep. They are not the same number.

Most EMS operators discover revenue loss months later — buried in denial letters, unreconciled mileage, and modifiers nobody noticed. By then it is uncollectible.

Silent Denials
$120–$680 per claim
Missed Modifiers
$45–$210 per trip
Underbilling
$80–$340 per trip
Stale Claims
100% loss past timely filing
PCS Compliance Gaps
Full claim recoupment
No Single Pane of Glass
Hours of admin / week
Silent Denials
$120–$680 per claim
Missed Modifiers
$45–$210 per trip
Underbilling
$80–$340 per trip
Stale Claims
100% loss past timely filing
PCS Compliance Gaps
Full claim recoupment
No Single Pane of Glass
Hours of admin / week
Silent Denials
$120–$680 per claim
Claims rejected for missing PCS, expired physician orders, or invalid modifiers — and the billing team never appeals because they never knew.
Missed Modifiers
$45–$210 per trip
Loaded mileage, origin/destination codes, oxygen, ALS upgrades — modifiers crews forget under pressure quietly downgrade your reimbursement.
Underbilling
$80–$340 per trip
Trips coded as BLS that documented ALS interventions. Bariatric and oxygen add-ons left blank. Service codes set to the lowest defensible level.
Stale Claims
100% loss past timely filing
Claims that aged past payer windows. Resubmissions that never happened. Appeals deadlines that quietly expired.
PCS Compliance Gaps
Full claim recoupment
Repetitive non-emergency trips without a current Physician Certification Statement. One audit can claw back six months of revenue.
No Single Pane of Glass
Hours of admin / week
Owners patch together spreadsheets, billing portals, and crew reports — and still cannot answer 'what did we leave on the table this week?'
The AI Relief

An AI revenue engine that watches every trip the moment it closes.

47 leakage detectors run on every trip — checking documentation, modifiers, payer rules, mileage, and clinical signals against the Medicare 2026 rate engine and your active payer contracts. Every gap becomes a dollar-quantified opportunity with a one-click fix.

47 Leakage Detectors
AI CAPABILITY
Medicare 2026 Rate Engine
AI CAPABILITY
Dollar-Impact Visibility
AI CAPABILITY
One-Click Apply or Override
AI CAPABILITY
Audit Trail On Every Edit
AI CAPABILITY
Auto-Resolution
AI CAPABILITY
47 Leakage Detectors
AI CAPABILITY
Medicare 2026 Rate Engine
AI CAPABILITY
Dollar-Impact Visibility
AI CAPABILITY
One-Click Apply or Override
AI CAPABILITY
Audit Trail On Every Edit
AI CAPABILITY
Auto-Resolution
AI CAPABILITY
47 Leakage Detectors
Modifier gaps, downcoded levels of service, missing add-ons, underdocumented mileage, expired PCS, denial-prone claim shapes — all detected pre-submission.
Medicare 2026 Rate Engine
Live rate tables and payer rule sets calculate exact dollar impact for every gap. You see what the trip is worth — and what it could be worth.
Dollar-Impact Visibility
Revenue Today, Revenue at Risk, Revenue Protected, ROI Multiple. Owners see operational decisions translated directly into financial outcomes.
One-Click Apply or Override
Each opportunity is fixable inline. Apply the fix, mark reviewed, or ignore with a written reason. Nothing changes silently.
Audit Trail On Every Edit
Editor identity, before/after values, timestamp, and reason are stored on every change. Defensible during payer audits and internal reviews.
Auto-Resolution
When the underlying gap is closed elsewhere — modifier added in billing, PCS uploaded, mileage reconciled — the opportunity self-resolves. No double work.
How It Works

From chaos to autopilot

  1. Step 01
    Trip closes — scan fires
    The moment a trip is marked complete, the revenue intelligence engine pulls the PCR, billing, and trip context and runs 47 detectors in under 60 seconds.
    01
  2. Step 02
    Opportunities surface with dollars attached
    Each gap is severity-ranked (high / medium / low) and shown with exact dollar impact, an explanation, and a suggested fix.
    02
  3. Step 03
    One-click apply, override, or ignore
    Billing or admin acts inline. Every action is logged with editor, timestamp, before/after, and a written reason.
    03
  4. Step 04
    Owner sees the dashboard update live
    Revenue Today, Revenue Protected, Revenue at Risk, ROI Multiple — all update in real time as crews and billing close gaps.
    04
Quantified Outcomes

Recover the revenue you already earned.

Operators using the leakage detection engine surface and recover revenue that was previously invisible — without adding billing headcount.

+18%
Net Collected Revenue
Average lift in net collections within 90 days of activation across pilot fleets.
62%
Denials Prevented
Pre-submission detection catches the modifier, PCS, and documentation gaps that drive most ambulance denials.
9 hrs
Saved Per Week
Per billing FTE — eliminated manual chart audits, denial spelunking, and modifier chasing.
We thought our billing was clean. The first week of leakage scans surfaced $42,000 in recoverable revenue we would have never touched.
Operations Director · Mid-Atlantic Ambulance Service

Common questions

Will this replace our billing company?+
It does not have to. Leakage detection runs upstream — it makes whatever billing pipeline you use materially more accurate. Many operators use it to negotiate better terms with their billing company or eventually bring billing in-house.
How is dollar impact calculated?+
Every opportunity ties to the Medicare 2026 rate engine and active payer rule sets. Modifier deltas, level-of-service changes, and add-ons are priced against the actual contract that applies to the trip's payer.
What if our team disagrees with a flagged opportunity?+
Every opportunity supports admin override with a written reason. Overrides are logged in the audit trail and the detector will not re-flag the same condition unless something material changes.
Is this defensible in a payer audit?+
Yes. Every applied change carries editor identity, before/after values, timestamp, and a written reason. The audit trail is exportable under BAA.

Find the money you are already losing.

Book a 30-minute executive demo. We will scan a sample of your closed trips live and show you the dollars sitting on the table.