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, we added a blog post […]
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 […]
“NICE” by Default Naughty or Nice? It’s that time of year when we all wonder where we fall on ol’ Saint Nick’s magic list. Where do you stand? Will a big old lump of coal hit your stocking or will Santa hit your chimney with a whole bunch of toys? It’s the stuff we have […]
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 […]
Properly Executing the Medicare ABN-Part II Just about one year ago, we used this blog space to publish a two-part series on how to properly execute the Medicare ABN. With the release of this new form, we think it is important to loop back and re-post the series once again this year since there will […]
Setting the “Stage” Landing the Series Today we’re landing the “Documentation Review as a Habit” series. Our seventh and final installment of this series focuses on documenting the “stage” of the patient’s illness or injury in the Patient Care Report (PCR) and the importance of doing so. For Emergencies and Beyond When documenting the 9-1-1 […]
Documenting Causation for Illnesses V. Our “Documentation as a Habit” series moves on to Part V this week. In it, we’ll discuss causation or the synonym we use a lot in healthcare terminology, etiology. Last week we talked about mechanism of injury which is basically the trauma part of any causation discussion. This week, we […]
5 Costly EMS Documentation Mistakes Here are the five EMS documentation mistakes that deny patients coverage they deserve and EMS agencies fair compensation for their services By Steve Johnson One of the most frustrating scenarios for EMS agencies is the denial of coverage for ambulance transport for far too many patients. In the vast majority […]
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 […]
Properly Executing the Medicare ABN-Part III In today’s blog post, we wrap up the written version of Medicare Advance Beneficiary Notice of Noncoverage blog series with a video demonstration. Below, Chuck presents a brief introduction, followed by walk-through explanation of the ABN form. Introduction Executing the Medicare ABN Form NOTE: You can watch a larger version of each […]
