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.
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.
Without specialized NEMT billing expertise, providers lose 15-25% of potential revenue to denials, underpayments, and compliance penalties.
End-to-end revenue cycle management designed exclusively for NEMT:
Automated verification of trip logs, signatures, odometer readings, and medical necessity before billing—reducing documentation-related denials by 85%
NEMT-specific coding for mileage units, wait times, trip types (stretcher, wheelchair, ambulatory), and modifiers with 99.5% accuracy.
State-by-state Medicaid MCO expertise, prior authorization tracking, and compliance with CMS NEMT regulations.
Electronic submissions optimized for NEMT payers with real-time status tracking and proactive follow-up on pending claims.
NEMT-focused denial resolution addressing documentation gaps, medical necessity, mileage disputes, and authorization issues.
Custom dashboards showing trip profitability, payer performance, denial trends, and revenue leakage by route/vehicle type.
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
Unlike general medical billers, 100% of our operations are dedicated to transportation billing.
Our NEMT-specific platform seamlessly integrates with trip scheduling software and automatically validates documentation.
We maintain direct contacts at all major Medicaid managed care organizations for faster resolution.
Average 28% revenue increase within 90 days for NEMT clients.
Continuous audit readiness with fraud prevention protocols and documentation training.
Month-to-month agreements because our results keep clients, not paperwork.
We provide specialized billing for all transportation modes:
Our NEMT billing expertise spans all 50 states with regional teams:
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.
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.