Revenue recovery is the process of obtaining financial reimbursement for the cost of providing medically necessary ambulance services. Medicaid, Medicare, and the majority of other private insurance policies (health, auto, and/or homeowners) allow for reimbursement for this service. As the need for additional emergency responders increases, local governments have sought ways to pay for these services without raising property taxes. Many other local governments in Virginia have found that billing Medicaid, Medicare and private insurance for ambulance transport service has resulted in a large amount of revenue being recovered to help defray the cost of the service. The availability of such revenues led the City of Poquoson to join the more than 40 cities, counties and towns in Virginia which currently have such a system.