When it comes to non-emergency medical transportation (NEMT), many factors go into determining the final fee schedule and rates. However, by following some simple steps, you can establish a fee schedule and rates that work for your company and its customers.
This article will show you how to determine your fee schedule and rates for various NEMT services.
How to Establish Non-Emergency Medical Transportation Fee Schedule and Rates
The first step is to understand the average non-emergency medical transportation service rates. These rates can vary depending on the type of service, the distance traveled, and other factors. Once you understand the average rates well, you can begin to establish a fee schedule and rates.
Average NEMT Service Rates
Below are some average non-emergency medical transportation service rates:
Type Van of Service
- Wheelchair: $45-$85 per trip
- Ambulatory: $35-$75 per trip
- Stretcher: $95-$250 per trip
Distance Traveled
- Fewer than 10 miles: $10-$20 per trip
- 11-20 miles: $15-$30 per trip
- 21-30 miles: $20-$40 per trip
- 31-40 miles: $25-$50 per trip
- 41+ miles: $30-$60 per trip
What is a NEMT Fee Schedule
A non-emergency medical transportation fee schedule is a document that outlines the fees charged for various NEMT services. The fee schedule should be clear and easy to understand so that both NEMT providers and customers know what to expect.
If you become a Medicaid and Medicare provider, these clients will have a set fee that you will be reimbursed for each ride. The Medicaid and Medicare non-emergency medical transportation fee schedule is as follows:
- Wheelchair van: $24.50 per trip
- Ambulatory van: $21.00 per trip
- Stretcher van: $92.00 per trip
Factors that Impact the Fee Schedule and Rates
There are a few factors that can impact the non-emergency medical transportation fee schedule and rates, such as:
Type of service: The type of service can greatly impact the fee schedule and rates. If you offer wheelchair transportation, for example, your rates will be higher than if you only offer ambulette services.
Distance traveled: The distance traveled is another essential factor to consider when determining the fee schedule and rates. The further the distance, the higher the rate will be.
Number of people: If you are transporting more than one person, you will need to charge a higher rate to cover the additional costs.
In addition, take into account your business operations costs. The costs include the vehicle, fuel, insurance, and employee salaries. Average monthly costs for each are as follows:
- Vehicle: $400-$1,000
- Fuel: $100-$300
- Insurance: $200-$500
- Employee salaries: $2,000-$4,000
Establishing Your Fee Schedule and Rates
Now that you know the average non-emergency medical transportation service rates and what factors impact the fee schedule and rates, you can start establishing fees. To do this, we recommend using a pricing calculator. This tool will help you input all the relevant information to get an accurate estimate of your fees.
You can also look at the fee schedule and rates that the competition in your area provides. Then, you can either match or beat their prices.
Conclusion
When it comes to non-emergency medical transportation (NEMT), many factors go into determining the final fee schedule and rates. However, by following some simple steps, you can establish a fee schedule and rates that work for your company and its customers.