Ambulance-Industry-Legislation-Update-Blog-06-29-2018

Ambulance Industry Legislation Update

Ambulance Industry Legislation Update In this space… Over a few month we reported in this space about legislation in several States that had the potential to impact the ambulance industry in a big way. Since those posts, there have been some positive developments on a few fronts. Pennsylvania Legislation Passes...

Legislative-Initiatives-Poised-to-Benefit-EMS-in-Three-States-Blog-06-08-2018

Legislative Initiatives Poised to Benefit EMS in Three States

Legislative Initiatives Poised to Benefit EMS in Three States PA, NY and MD State lawmakers in Pennsylvania, New York and Maryland have been working on new legislation that has the potential to drastically change the EMS reimbursement landscape. This year has seen a flurry of activity in the chambers of...

The-Moms-of-EMS-A-Tribute-Blog-05-11-2018

The Moms of EMS- A Tribute

The Moms of EMS- A Tribute Sunday Sunday’s a big day! It’s Mother’s Day. It’s a day that we celebrate the one person we literally cannot do without simply because…well…we physically wouldn’t be here without our moms. And…that got us thinking about the Mom’s that make up EMS. What will...

Emergency-Digging-Deeper-to-Define-Blog-06-10-2016

Emergency! – Digging Deeper to Define

Emergency! – Digging Deeper to Define Bloggers Note- this week our billing office had a discussion with a client to help provide direction on the question of what constitutes an emergency and the documenting of the use of “lights and sirens”. The discussion is common. Just about two years ago,...

Balance-Billing-and-Air-Medical-Transport-Blog-04-27-2018

Balance Billing and Air Medical Transport-Part II

Balance Billing and Air Medical Transport Part Two Welcome to Part Two of our blog series Balance Billing and Air Medical Transport. Last week, we looked at the historical aspect and defined the issue at hand. This week, we peer into the public perception, regulatory consequences, and make some suggestions...

Balance-Billing-and-Air-Medical-Transport-Blog-04-20-2018

Balance Billing and Air Medical Transport

Balance Billing and Air Medical Transport Bloggers note- Welcome to Week One of a Two-Part blog series focusing on Balance Billing and Air Medical Transport. This week we’ll look at the issue at hand complete with a brief history lesson on how we arrived at today and where things stand...

Medicare-Prior-Authorization-Results-3-Years-Later-Blog-04-13-2018

Medicare Prior Authorization- Part II- Impact!

Medicare Prior Authorization- Part II- Impact! Welcome! Thanks for stopping by for Part II of our blog recap of the findings from the recently published interim evaluation report on Medicare Prior Authorization. Last week, we capsulized the findings as published by government contractor Mathematica Policy Research. This week, we will...

Medicare-Prior-Authorization-Results-3-Years-Later-Blog-04-06-2018

Medicare Prior Authorization- Results 3 Years Later

Medicare Prior Authorization- Results 3 Years Later History In December 2014, the Centers for Medicare and Medicaid Services (CMS) implemented a Medicare Prior Authorization program on a three-year trial for RSNAT- repetitive, Scheduled, non-emergency ambulance transports. The program targeted three States that statistically showed a sharp increase in these types...

Other-Methods-of-Transportation-are-Contraindicated-Blog-03-23-2018

Other Methods of Transportation are Contraindicated

Other Methods of Transportation are Contraindicated Medical Necessity Defined We talk a lot about Medical Necessity in the ambulance billing office. Medical necessity and Reasonableness are key in determining whether or not an insurance payer is obligated to pay for ambulance transport, especially for Medicare and Medicaid patients. Title XVIII...

Understanding-Ground-Ambulance-Charges-Blog-03-16-2018

Understanding Ground Ambulance Charges-Part III

Understanding Ground Ambulance Charges-Part III Ambulance Billing is Different Ambulance billing is different. Really medical billing as a whole is different than any other type of billing or business practice, but ambulance differs at yet another level than even other medical billing disciplines. In any other business line, one makes...