Dissecting “The Misunderstoods”- Part I- Billing for ALS 2 Bloggers note- early last year we posted a popular 2-part series talking about a subject we affectionately called “The Misunderstoods.” Because we periodically field questions about these two levels of service and the complexity of documenting properly to obtain maximum reimbursement, we’re offering up the series […]
Do You Have the Tools You Need for Future EMS? Changing World of EMS It doesn’t take a rocket scientist to figure out that we live in a world of constant change. Like the rest of the world, there is a changing world of EMS and it’s happening very fast. Advances in healthcare and technology […]
Transporting SNF Residents: Choosing the Proper Payer This week the industry experts at Page, Wolfberg and Wirth (www.pwwemslaw.com) posted an excellent article in the EMS Legal Update on EMS1.com regarding how to choose the proper insurance payer when transporting Skilled Nursing Facility residents by ambulance. The information is so important that we decided to share with […]
Of Revalidations- Part II- Why So Much Personal Information? Here we go again… In this second part of our two-part series talking about the revalidation process, we focus on one of the biggest questions we receive here in our billing office… “Why do I have to provide my personal information? Let’s dig in and try […]
Medicare Revalidation – What is it and Why do we do it? “Why do we have to do this?” Five years ago Medicare suppliers and providers received the wonderful gift called Medicare Revalidation. Since that time, our billing office has been asked the same question over and over. “Why do we have to do this?” […]
Congressional Committee Moves Revised Ambulance Relief Bill On 9/11… In a bit of displaced irony, on the very day we remember one of the greatest mass casualty incidents to ever strike the United States, September 11, the House Ways and Means Committee voted out an amendment to alter legislation that brought hope to many of […]
Medicare Add-On Payments- Time is Running Out! Five Months! Five Months have passed since Senators Stabenow, Roberts, Leahy, Collins and Schumer introduced S. 967 entitled the “Medicare Ambulance Access, Fraud Prevention and Reform Act of 2017” and yet the legislation has not passed. Companion bill H.R. 3236 also remains in limbo. What’s worse- the ambulance […]
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 […]
Harvey- A Reminder BLOGGER’S NOTE – today we take a break from our normal focus to say a few words in light of the natural disaster tragedy continuing to unfold in Houston, Texas and surrounding areas in the aftermath of Hurricane Harvey. We hope you’ll take a minute to read and react. Horrific The only […]
Friday Night Lights, EMS and ICD-10 BLOGGER’S COMMENT – Every year, this week in time, we take a minute to review specific documentation tips when treating sports injuries. Let’s hope we never have to use these skills. Have a safe and enjoyable Friday Night Lights! It all Begins Tonight! Our billing office is located in Pennsylvania […]
