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 currently with regard to the […]
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 briefly take a look at […]
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 of transports at an alarming […]
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 of the Social Security Act […]
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 a product or delivers a […]
Understanding Ground Ambulance Charges- Part II Last week… Welcome back to Part II of our series “Understanding Ground Ambulance Charges! Last week we covered the basics. We defined the term charges and what it means and how it applies to the ground ambulance billing world. This week we focus on how charges are determined and […]
Understanding Ground Ambulance Charges Often Questioned Here at the billing office, we are often questioned about the gross charge fee schedule used by our clients when billing. This is a line item list of charges that are included on the bill and combine to create a total dollar amount bill for the services offered by […]
Cost Data Collection on the Horizon for EMS Reality Time When the Philadelphia Eagles won their very first Super Bowl two weeks ago, the City of Brotherly Love went giddy wild. There were light poles to climb, banners to wave and confetti to throw. Then…it was reality time. All that confetti had to be cleaned-up, […]
Clear. Clinical. Documentation. Bloggers note- we posted this blog almost a year ago to the day. It’s one of those topics that never gets old and the information remains as important as it was the first day we posted it. All of us must keep this important concept in mind when documenting our EMS transports. […]
Congressional Victory- Medicare Add-Ons Receive New Life! Minutes Ago… We’re writing this piece on the morning of Friday, February 9, 2018. Remember this day, as just minutes ago the United States Congress passed a bill to keep the government’s doors open for another month and with it they passed important provisions affecting the ambulance industry. […]
