Subject Matter Expert
Provide expertise in EMS billing, coding, documentation, reimbursement, and regulatory compliance.
Solutions Group Services provides expert consulting in EMS and ambulance billing, reimbursement compliance, and litigation support. This engagement is contracted directly with Foley & Lardner LLP. For this engagement, Asbel A. Montes, II offers the following services:
Provide expertise in EMS billing, coding, documentation, reimbursement, and regulatory compliance.
Analysis of billing records, audit findings, and claims data against applicable regulatory standards and industry practices.
Evaluation of billing methodology, payer contracts, and reimbursement documentation.
Strategic guidance on emergency transport billing disputes, including Medicare/Medicaid reimbursement, the No Surprises Act, and False Claims Act matters.
Interpretation of federal and state ambulance billing regulations, including CMS rules and ground ambulance patient billing requirements.
Consultation hours via phone, interactive media solutions, email, and document review and creation. Consultation hours billed in 30-minute increments. All email communication billed in 15-minute increments. All document review and creation services billed in 30-minute increments.
Phone & interactive media — 30-minute increments.
All email communication — 15-minute increments.
Review and drafting — 30-minute increments.

Over 25 years of experience in EMS operations, ambulance billing, and healthcare finance. His qualifications are directly relevant to matters involving emergency transport billing:
2022–2024 — appointed by the federal government to advise on the exact regulatory framework at issue in ambulance billing disputes.
2019–2022.
American Ambulance Association, 2017–2022.
Testified before the U.S. Senate Subcommittee on Health for Veterans Affairs on ambulance billing and access to care.
2009–2021 — one of the nation's largest ambulance providers, with direct operational and financial responsibility for billing, compliance, and reimbursement at scale.
On the No Surprises Act, FCA-related billing issues, Medicare/Medicaid ambulance reimbursement, and billing compliance.
