County hears EMS billing review from AMB Mars as deficiencies fall and collections rise

Boyle County Fiscal Court · November 26, 2025

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Summary

AMB Mars outlined improvements in Boyle County EMS billing since 2019, reporting higher annual payments, a sharp reduction in claim deficiencies and a recent 0% external audit error rate; company representatives and Chief Rogers discussed legislative work on reimbursement issues.

Representatives from AMB Mars presented a review of Boyle County EMS billing and collections, telling the fiscal court the company began working with the county in 2019 and has seen annual payments increase while claim deficiencies fell.

Philip Sanderson and Heather Jones of AMB Mars highlighted data showing increased annual payments (figures discussed in presentation) and a reduction in deficiencies to about 3.36% in 2024 following additional compliance training and audits. The firm noted a 0% error rate on the most recent external audit and discussed ongoing efforts to work with state legislators to improve reimbursements from commercial payers and Medicare for certain transports.

Magistrates asked about uncompensated care and possible legislative remedies; AMB Mars said those are state and federal policy issues and described efforts to engage legislators and state associations. Magistrates and EMS leadership praised Director (Chief) Rogers and EMS staff for documentation improvements and said the county will continue annual or biannual training and internal compliance work.

The presentation was informational; the court thanked the guests and had no action vote tied directly to the presentation.