Unlike medical billing, ambulance billing involves a level of complexity that most medical billers don’t understand. Unlike billing for other medical specialties, ambulance billing is not based on a single diagnosis, rather it is based on the patient’s apparent condition. Coding and billing are done based on the patient care report, which includes critical information about how the patient was found on scene, assessments results, procedures performed, medications administered, mileage, and so much more. The patient care report must clearly support the medical need for the transport and explain enough detail to determine the level of services that can be billed (BLS, ALS) and the number of loaded miles that can be billed. A billing software that specializes in EMS billing helps ensure claims get paid right the first time.