EMS|MC Expands Air Medical Billing Expertise with Acquisition of HSI

Air medical providers operate in one of the most complex reimbursement environments in healthcare. Between payer variability, regulatory oversight, and the ongoing impact of the No Surprises Act, billing for rotor- and fixed-wing transport has become increasingly challenging.

That's why we're excited to share an important milestone: EMS Management & Consultants (EMS|MC) has acquired Health Services Integration (HSI), a company widely recognized for its deep expertise in air medical billing and reimbursement.

This strategic acquisition strengthens EMS|MC's ability to support air medical organizations with purpose-built revenue cycle management, compliance, and advisory solutions-while preserving the specialized focus air programs require.

Why Air Medical Billing Requires Specialized Expertise

Air medical reimbursement isn't simply an extension of ground EMS billing. It involves:

• Highly complex payer rules and contract variability

• Increased regulatory scrutiny

• Ongoing independent dispute resolution (IDR) processes under the No Surprises Act

• High-cost clinical operations with thin margins

HSI was founded in 1999 specifically to address these challenges. Over the past two decades, the team has built a reputation for navigating payer disputes, protecting revenue integrity, and supporting air medical providers through an increasingly fragmented reimbursement landscape.

By bringing HSI into the EMS|MC organization, air medical clients gain access to expanded expertise without sacrificing specialization.

What This Means for Air Medical Providers

The combination of HSI and EMS|MC creates a more comprehensive, air-focused revenue cycle platform-designed to reduce risk, improve financial sustainability, and simplify operations.

Air medical organizations can now benefit from:

• Deep air medical billing and IDR expertise, including No Surprises Act dispute support

• EMSmart® revenue cycle technology, purpose-built for EMS and mobile healthcare

• National compliance and regulatory insight, backed by experienced advisory teams

• Scalable client success and operational support, tailored to air programs

The result is a partner who understands both the clinical mission and the financial realities of air medical care.

Building Momentum in Air Medical Leadership

This acquisition builds on EMS|MC's growing investment in air medical services, including the 2025 appointment of Donna York, DNP, as General Manager of Air Medical Services.

With more than 30 years of experience as a flight nurse, program director, and national industry leader, Donna brings deep operational and clinical insight to EMS|MC's air medical strategy. Her leadership-combined with HSI's specialized billing expertise-reinforces EMS|MC's commitment to clarity, consistency, and confidence in air medical reimbursement.

A Unified Partner for EMS and Mobile Healthcare

EMS|MC supports more than 1,500 fire, EMS, and mobile healthcare agencies nationwide, processing over 6 million EMS claims annually. Built by professionals with frontline EMS experience, the organization delivers integrated solutions across:

• Revenue cycle management

• Compliance and regulatory guidance

• Education and training

• Technology and data insights

• Strategic advisory services

With the addition of HSI, EMS|MC is uniquely positioned to serve both ground and air medical providers through a unified, purpose-built platform-helping organizations operate sustainably while staying focused on patient care.

Looking Ahead

Air medical reimbursement isn't getting simpler-but having the right partner makes all the difference.

By combining EMS|MC's scale, technology, and compliance infrastructure with HSI's specialized air medical billing expertise, we're investing in the future of air medical services and the providers who make lifesaving care possible every day.

Learn more about EMS|MC's air medical services and billing expertise.