If a grieving family, whose loved one died after an ambulance arrived late to a call, receives a bill from the EMS service a few weeks later, is that going to make the family more or less likely to pursue possible litigation against the EMS provider? This is not just a hypothetical question; I have seen it play out in reality.
There is a good chance that emotional catalyst for litigation will come into play in a recent incident in the District of Columbia. See Man Billed For Ambulance That Arrived Too Late.
If your EMS service has a troubling call, such as a delayed response or some patient care issue that causes you to suspect it might lead to litigation, put a hold on billing. That alone might not prevent a lawsuit, but if the patient (or surviving family members) are undecided about filing a lawsuit, and then they receive a bill for the call, that could very well be the proverbial straw that breaks the camel’s back and puts them on a path toward litigation.
In other words, if you drop the ball, don’t bill the call.