The Non-Emergency Medical Transport Fix Kit
Built for NEMT and wheelchair van operators.
Non-emergency medical transportation runs on two separate books that rarely get compared. This kit finds where the money leaks in your own work and gives you the steps and the words to close each one.
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The 7 leaks it covers
2 you can close it · 2 the other side owes it · 3 a pro decides
- One broker is the only buyer, so disputing a short-pay feels riskyWhere to look first: Write down what share of last year's income came from this one broker.Keep it from coming back: Watch your single-payer share each quarter and keep adding one non-broker source of rides.You can close it
- Contract rate fixed while fuel and driver costs keep rising (rate drift)Where to look first: Find the date your current rate was set in your signed agreement.Keep it from coming back: Re-run your cost per mile every quarter and put your renewal date on a calendar 90 days early so you go in with your own numbers. Before signing a new term, look for a cost-adjustment clause.You can close it
- Miles driven above the shortest-route miles the broker paysWhere to look first: Read your broker agreement first: it sets the mileage basis you are paid on (in Colorado, for example, the state manual pays the shortest route an internet map gives).Keep it from coming back: Keep GPS or AVL miles on every trip and compare them with each remittance the week it arrives. Know your agreement's mileage basis before renewal.The other side owes it
- Wheelchair or stretcher trip paid at the lower ambulatory rateWhere to look first: Pull last month's remittance and your pickup records (trip sheet, mode authorized, the rider's written mode from their medical professional).Keep it from coming back: Record authorized mode, delivered mode and any re-authorization reference on every trip, and run the match each time a remittance lands.The other side owes it
- Self-employment tax not set aside through the yearWhere to look first: Open a separate savings account for taxes only.Keep it from coming back: Move the set-aside the day each payment lands, before bills, and keep the quarterly dates on your calendar.A pro decides
- Wait time, deadhead miles and no-shows paid at nothingWhere to look first: Read your broker agreement for three things: a wait-time rate, a deadhead (empty miles) policy, and a no-show or cancellation payment.Keep it from coming back: Before you sign or renew, get wait-time, deadhead and no-show terms in writing, and log all three on every trip.A pro decides
- Signed broker agreement pays below the state's published fee scheduleWhere to look first: Pull your signed broker agreement and its rate sheet.Keep it from coming back: Keep a signed copy of every rate sheet and check each new one against the published schedule before you sign it.A pro decides
Free: one full leak from this kit
No sign-up, no email. Here is leak 1 of 7 exactly as it appears in the kit, so you can see what you get before you buy.
One broker is the only buyer, so disputing a short-pay feels risky
You can close it- Write down what share of last year's income came from this one broker.
- List other payers you could add: Medicaid managed-care plans that pay for rides in your state, private-pay riders, dialysis centers, senior living sites, hospitals discharging patients.
- Ask your state Medicaid agency how transport is delivered where you work (broker, managed care, or direct fee-for-service) — that tells you who else can pay you.
- Raise disputes in writing, calmly, with records, so the record speaks for you.
- Whether to dispute is your call to weigh.
Your part: Quote, accept or decline every job yourself.
Message to a facility that books rides (dialysis center, senior living, hospital discharge desk): Hello [CONTACT NAME], I'm [YOUR NAME] with [COMPANY]. We run [ambulatory / wheelchair / stretcher] transport in [AREA], with [NUMBER] vehicles and trained drivers. I'd like to be a backup or direct option for private-pay or facility-paid rides your patients or residents need. Can I send you our details and rates, or stop by for ten minutes? Thank you, [YOUR NAME] [PHONE]
Watch your single-payer share each quarter and keep adding one non-broker source of rides.
What this kit can't decide for you: We do not advise on whether to dispute. Enrollment rules for other payers vary by state and plan.
That's 1 of 7. The other 6 come the same way in the kit: steps, words to send, a habit to keep each one closed.
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What people in this work look up
When NEMT providers go looking for answers, they search things like “nemt business”, “nemt broker”, “nemt rates” and “nemt billing”. Those searches turn up forms, averages and other people's numbers. This kit starts from your own records instead: the 7 places money leaks in this work, where to look first and the words to send to close each one.
What you get for each leak
- Numbered steps to close each leak
- Your part, spelled out
- Words you can use: letters and scripts, ready to send (fill in the brackets)
- A habit that keeps each leak from coming back
- An honest line on what the kit can't decide for you
A page from the kit
Questions people ask
Is my NEMT broker paying the right rate?
Check wheelchair and stretcher trips aren't paid at the ambulatory rate, and compare your agreement to the state's fee schedule. The kit shows how.
Should I be paid for extra miles?
Miles above the shortest route the broker pays are a leak the kit covers.
What about wait time and no-shows?
Often paid at nothing. The kit shows what to raise.
What it can't decide for you
This kit works from your own records. It doesn't give legal, tax, licensing or financial advice, and it never tells you what to charge. Where a CPA, attorney, insurer or state board makes the call, the kit says so and gets your records ready for them.
11-page PDF · instant download after payment · Code VYR-KIT-RIDE-01
Opens secure checkout. Instant download after payment. 30 days to ask for a refund — refund policy · terms
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