It depends on whether you are profit or non-profit. If money is no object just send ALS on everything, and do not run BLS units (rationale being, why have a limited resource, versus an ambulance that can respond to every call imaginable).
If you are profit driven (which I doubt, since no one in your organization understands billing, that tells me that it isnt important), then you need to use the proper resource, as payment is determined by Medicare Policies (almost all private insurance and Medicaid base their payment schedule on Medicare's). Therefore you can send 3 medics on ever call, but if it is a BLS call, you will only get reimbursed at the BLS rate; conversely if you send a BLS crew on an ALS "rated" call, you will not get the higher reimbursement rate. The following document explains it fairly clearly, skip down to page 25 for explanations of categories (BLS/ALS1/ALS2/SCT).
ALS/BLS Defined
in General EMS Discussion
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