Emergency-Digging-Deeper-to-Define-Blog-06-10-2016

Emergency! – Digging Deeper to Define

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 […]

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Dissecting-The-Misunderstoods-Blog-02-19-2016.png

Dissecting “The Misunderstoods”- Part II- Billing for SCT

Dissecting “The Misunderstoods”- Part II- Billing for SCT 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 again […]

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Railroad-Medicare-Cites-Denial-Rate-Blog-08-11-2017

Railroad Medicare Cites 32.6% Denial Rate in Widespread Review

Railroad Medicare Cites 32.6% Denial Rate in Widespread Review Here we go again… The Railroad Medicare program, administered by government contractor Palmetto Government Benefits Administrators (Palmetto GBA) has published the results of their latest “widespread review” of BLS Non-Emergency Transports. Here we go again… Continually, our industry is turning in dismal audit results with this […]

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Medicare-ABN-Part-I-Blog-07-01-2016

UPDATE-Properly Executing the Medicare ABN-Part I

UPDATE-Properly Executing the Medicare ABN-Part I Misunderstood The Centers for Medicare and Medicaid Services (CMS) has just announced the release of the revised Advance Beneficiary Notice of Noncoverage (ABN). It is important that those of us in the ambulance world who use this form on a regular basis begin to use this version immediately. Just […]

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New-Stuff-From-Medicare-Blog-11-18-2016

New Stuff From Medicare

New Stuff From Medicare Two Updates Two recent Medicare updates carrying a potential impact on your EMS agency’s cash flow, complete with compliance implications popped up on our radar screen recently. Today’s blog will focus on those two updates. MUEs The Centers for Medicare and Medicaid Services recently updated the list of what they call […]

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Medicare-ABN-Part-I-Blog-07-01-2016

Properly Executing the Medicare ABN-Part I

Properly Executing the Medicare ABN-Part I Misunderstood One of the most misunderstood puzzle pieces of ambulance billing is the Medicare Advance Beneficiary Notice of Noncoverage (ABN). As we work together with our contracted EMS agency clients, we find that EMS administrators and providers alike are very confused about the when and how to use this […]

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Emergency-Digging-Deeper-to-Define-Blog-06-10-2016

Emergency! – Digging Deeper to Define

Emergency! – Digging Deeper to Define Lights and Sirens Myth This billing office is often questioned about what constitutes an emergency for the purposes of billing and collecting payment. There’s a myth in EMS that any ambulance incident that necessitates the use of “lights and sirens” is an emergency. It’s not the case. We look […]

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