Found Money – Underpayment Recovery for EMS

Recover insurance revenue you already wrote off.

RVNU EMS helps U.S. ambulance providers recover insurance underpayments on closed, written-off claims — revenue most billing systems and workflows leave behind.

We focus on claims that were:

Paid incorrectly
Short-paid
Denied after standard appeals
Written off as uncollectible

Without changing your billing system.
Without billing patients.
Without disrupting current operations.

Start With a Free Benchmarking Review

What “Found Money” Means

Found Money is revenue that was never actually uncollectible — it was simply never pursued far enough.

Traditional EMS billing workflows stop when:

Standard appeals are exhausted
Denials age out
Write-offs are posted

RVNU specializes in what happens after that point.

We identify underpaid claims, analyze payer behavior, and pursue recovery paths that billing vendors and in-house teams are typically not structured to handle.

What We Work On

RVNU focuses on insurance claims that meet one or more of the following criteria:

Closed or written-off claims
Non-par payments reduced to unreasonably low amounts, including unilateral reductions applied through third-party repricing methodologies
Partial payments inconsistent with contract or coverage
Denials following standard billing appeals
Claims abandoned due to time, staffing, or system limits

If a claim has already passed through billing and appeals, that’s often where our work begins.

How RVNU Is Different From Billing

Found Money is not billing, and it is not a replacement for billing.

Billing is designed to process volume efficiently.
Found Money is designed to pursue exceptions.

Key differences:

We work on claims billing workflows have already closed
We are not constrained by standard billing system stop points
We analyze payer behavior across claim sets, not claim-by-claim only
We operate alongside existing billing teams and vendors
Experience addressing non-par and repriced claims paid at amounts disconnected from reasonable reimbursement

Many of our engagements begin while billing remains unchanged.

How the Process Works

1. Benchmarking Review (Free)

We review a sample of your historical claims to identify:

Underpayment patterns
Payers with repeat issues
Revenue recovery potential

This step determines whether Found Money makes sense for your agency.

2. Recovery Engagement (If Appropriate)

If meaningful opportunity exists, RVNU pursues recovery on eligible claims through payer-specific strategies.

No system changes required
No patient billing
No disruption to ongoing billing operations

3. Reporting & Visibility

You receive clear reporting on:

Claims reviewed
Amounts recovered
Payer behavior insights

This data often informs future billing and contracting decisions as well.

Who Found Money Is a Fit For

Found Money is typically a fit for:

Private EMS agencies with meaningful call volume
Organizations generating $2M+ in annual revenue
Agencies that suspect underpayments but lack time or tools to pursue them
Leadership teams that want recovery without replacing billing

If you are unsure whether Found Money or another approach is the right starting point, benchmarking answers that quickly.

What Found Money Is Not

To avoid confusion:

Found Money is not patient collections
Found Money is not a billing replacement
Found Money is not contingent on switching vendors
Found Money does not interfere with current billing workflows

It is a focused recovery effort designed to surface revenue others leave behind.

Real-World Example

A private EMS agency engaged RVNU EMS after years of accepting commercial insurance underpayments as final. Through a focused review of closed claims, RVNU identified systemic underpayment patterns and recovered previously written-off revenue — while also correcting how new claims were paid going forward.

See how it worked →

Start With a Benchmarking Review

The fastest way to determine if Found Money applies to your agency is a benchmarking review.

There is no obligation, and we will be upfront if recovery is not the right solution.