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Whitepaper Jan 1, 2026 8 Pages

From the Ground Up

Billing and Compliance Considerations for Air Ambulance Services and Their Ground Partners

Top-down view of a white and blue rescue helicopter flying low over a winding road, with a yellow ambulance visible on the road below, lights flashing in emergency contrast.

PWW Advisory Group (PWW|AG) developed this white paper to help EMS agencies navigate the billing, documentation, reimbursement, and compliance challenges associated with ground ambulance and air medical services.

Written by Donna York, General Manager of Air Medical Services for EMS|MC and PWW Advisory Group (PWW|AG), From the Ground Up explores real-world air–ground transport scenarios, clarifying reimbursement responsibilities, documentation requirements, and compliance considerations. Whether your agency regularly coordinates with air medical providers or only occasionally encounters these situations, this resource provides practical guidance to support accurate billing, reduce compliance risk, and strengthen EMS reimbursement outcomes.

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