NEMT Billing Services

Stop Losing Revenue to Complex Billing. Turn Every Trip Into Reimbursement.
From trip validation to Medicaid compliance, we specialize in NEMT billing nationwide—reducing denials, accelerating payments, and letting you focus on safe patient transport.

About Practicemate

Practice Mate Medical Billing Experts are America’s leading NEMT billing partner with 12+ years of specialized transportation revenue cycle management. Our proprietary NEMT billing platform and dedicated experts handle the unique complexities of trip-based billing, compliance, and payer negotiations. We’ve recovered over $ 75 million in lost revenue for NEMT providers across 40+ states, from small fleets to statewide transportation networks.

Which Issues Do NEMT Providers Face?

Providing non-emergency medical transportation (NEMT) isn’t just about getting patients from point A to point B—it’s about keeping the wheels turning financially. But here’s the catch: billing for NEMT services is far more complicated than most providers expect.

  • Non-emergency medical transportation billing involves unique challenges:
  • Trip Documentation Errors (missing signatures, incorrect odometer readings)
  • Complex Medicaid Rules (state-specific prior authorizations, mileage calculations)
  • Payer Confusion (Medicaid MCOs, commercial plans, managed care variations)
  • Underpaid Trips (incorrect mileage units, rate misapplications)
  • High Denial Rates (averaging 25-40% industry-wide)
  • Compliance Risks (fraud investigations, documentation audits)
  • Manual Processes (paper logs, disconnected systems)

Without specialized NEMT billing expertise, providers lose 15-25% of potential revenue to denials, underpayments, and compliance penalties.

Our NEMT Billing Services

End-to-end revenue cycle management designed exclusively for NEMT:

Trip Validation & Pre-Audit

Automated verification of trip logs, signatures, odometer readings, and medical necessity before billing—reducing documentation-related denials by 85%

Accurate Ride Coding

NEMT-specific coding for mileage units, wait times, trip types (stretcher, wheelchair, ambulatory), and modifiers with 99.5% accuracy.

Medicaid Compliance

State-by-state Medicaid MCO expertise, prior authorization tracking, and compliance with CMS NEMT regulations.

Claim Submission & Tracking

Electronic submissions optimized for NEMT payers with real-time status tracking and proactive follow-up on pending claims.

Denial Management

NEMT-focused denial resolution addressing documentation gaps, medical necessity, mileage disputes, and authorization issues.

Revenue Analytics

Custom dashboards showing trip profitability, payer performance, denial trends, and revenue leakage by route/vehicle type.

How We Help NEMTs Across the USA

We solve NEMT billing complexities with:

Dedicated NEMT Teams – Specialists who understand trip-based billing, not just medical codes

Proprietary Validation Tech – Automated trip documentation verification before billing

State-Specific Medicaid Expertise – Current knowledge of all 50 states’ NEMT policies

Payer Relationship Management – Direct contacts at Medicaid MCOs and commercial payers

Proactive Compliance – Continuous audit preparation and fraud prevention

Scalable Solutions – From 10-trip providers to statewide transportation networks

Why NEMT Providers Choose Us

NEMT-Only Focus

Unlike general medical billers, 100% of our operations are dedicated to transportation billing.

Proprietary Technology

Our NEMT-specific platform seamlessly integrates with trip scheduling software and automatically validates documentation.

Medicaid MCO Masters

We maintain direct contacts at all major Medicaid managed care organizations for faster resolution.

Proven Revenue Recovery

Average 28% revenue increase within 90 days for NEMT clients.

Compliance Protection

Continuous audit readiness with fraud prevention protocols and documentation training.

No Long-Term Contracts

Month-to-month agreements because our results keep clients, not paperwork.

We Offer Services Nationwide

Our NEMT billing expertise spans all 50 states with regional teams:

NYC

Miami

Minneapolis

Dallas

Boston

Los Angeles

San Francisco

Denver

Nashville

Stop Letting NEMT Billing Complications Drain Your Resources.

Simplify your workflow, maximize reimbursements, and focus on what matters most—your patients. With PracteMate, you get a smarter, streamlined billing solution built for NEMT providers.

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Frequently Asked Questions (FAQs)

Yes, we specialize in Medicaid managed care organizations nationwide, maintaining direct contacts at major MCOs like Amerigroup, Molina, and Centene. Our team navigates each MCO’s unique NEMT requirements, prior authorization processes, and payment structures to achieve approval rates of 95% or higher.

We use proprietary technology that cross-references trip logs with driver signatures, odometer photos, and electronic manifests. Our pre-audit system flags missing elements (e.g., pickup/drop times, medical necessity codes) before billing, reducing documentation denials by over 80%.

Absolutely. We handle commercial payers, including Aetna, Cigna, and UnitedHealthcare, for NEMT services, providing prior authorization management and coordination of benefits. Our team understands commercial NEMT coverage limitations and appeals processes to maximize reimbursement.

Most clients see measurable improvements within 30-60 days, including reduced denial rates and faster payments. We prioritize the immediate cleanup of aged claims while implementing NEMT-specific optimizations, with providers typically achieving revenue increases of 20-30% within the first quarter.

Yes, we maintain rigorous HIPAA compliance with encrypted data transmission, secure cloud storage, and regular security audits. Our NEMT-specific protocols safeguard patient health information throughout the trip scheduling, billing, and payment processes, with full Business Associate Agreements (BAAs) in place.

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