Claim Rejections vs. Claim Denials ─ What’s the Difference? Claims Errors The healthcare billing industry has seen its ups and downs over the years – but one would surely think that advances in billing technology would have made claim errors a rare occurrence. Think again! The industry still experiences an 80% error rate! According to […]
Guiding -vs- Chasing Reimbursement By Brigit Battaglia Brigit Battaglia, CAC is Director of Process Design and Optimization at Quick Med Claims. Brigit has deep experience in the areas of process development, AI/machine learning, transportation billing and performance improvement gleaned from 12 years in the EMS billing industry. Ever heard someone say that something is “like […]
On Drop Downs and Written Narratives- Connecting the Data in our PCRs “Paint a Picture” We read a lot of communication that point to expectations. The Centers for Medicare and Medicaid Services (CMS), State agencies and even Commercial Insurance payers bombard our billing office with all kind of communication about what they expect to be […]
4 Important Things EMS Field Practices to Aid Billing Billing is Important! As an EMS provider in the field, if you think you can ignore what goes on in the office- especially the billing part- then you don’t see the bigger picture. Billing is important! Modern EMS is expensive. Most trucks are now a 6-figure […]
Take Compliance Seriously- Or…It Will Cost You! In the News Recently, some scary EMS articles have been published. Here are some headlines… Fla. Ambulance company to pay 1.2M in federal whistle-blower lawsuit <Company name redacted> settles Medicare fraud suite for 12.7M Ambulance company owner sentenced to prison for fraud Feds crack down on Medicare ambulance […]
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 […]
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 on how to navigate the […]
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 […]
