Documenting Emergent Scenarios Post October 1 Focus If you’re a regular reader of this space you are aware that we focus A LOT on medical necessity, especially as the definitions contained in the rules pertain to Medicare. With anywhere from 40% to 60% or upward of the average ambulance reimbursements...
Be Proud! Shrinking Pool There’s a shrinking pool of EMS providers. We don’t care where you are located, it’s obvious that fewer of us are doing this EMS thing. Quite frankly, it’s a bit scary. News story after news story, report after report chronicles that our numbers are down and...
Behind on PCRs? Focus! Frustration Frustration reigns in the billing office when there are an x-number of your EMS agency’s runs that have yet to be turned into Patient Care Reports (PCRs) for billing submission. As we think about our own field experiences and we watch our colleagues, we find...
ICD-10 Behind the Scenes The stuff you don’t see… In previous blog posts we talked a lot about the new ICD-10 diagnosis code conversation set to take place on October 1st, primarily focusing on the things we see- namely documentation and the interpretation of the Patient Care Report documentation in...
What’s Your “White Hot Why”? Howdy! It’s me… Hey everyone, it’s me. Chuck. We typically post this blog in the third person and refer to ourselves as “we” in the content because this space is a collaboration and representation of everyone that’s part of our wonderful Enhanced Management Services team....
Reconciling- Are They All Billed? Keeping track… We’re always surprised to learn of EMS agencies that do not reconcile the number of transports to billing claims, for a given period. Stop right now and ask this question. Are all of the EMS transport incidents billed for (insert time period)? We...
Changes? Include Your Billing Office! What’s New? What’s new in EMS? There are plenty of new things happening in EMS. The very nature of EMS is change. We are learning and learning fast about the outcomes from what we do in the field so there is a lot happening in...
Headlines Teach HIPAA Lesson News or Violation? Last week the sports world was shocked when a rising National Football League star suffered a tragic accident. While celebrating the 4th of July holiday, New York Giants phenom Jason Pierre-Paul lost a finger in an accident involving fireworks. It was a tragic event that now...
Closest Appropriate? Explaining Destinations in the PCR Closest Appropriate Facility In the ambulance billing world, this 3-word phrase is discussed more than you’d realize- Closest Appropriate Facility. There are rules that differ in many cases between insurance payers, most notably between Medicare and Medicaid and even some commercial insurance payers...
Sharpening Documentation Skills Using Hands-On Training How will they learn? The Apostle Paul wrote a letter to the early church in Rome to encourage the early first-century believers to actively share their faith with others. He used a series of questions to make his point. "But how can they call...
