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 […]
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 […]
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 […]
Dissecting “The Misunderstoods”- Part I- Billing for ALS 2 “The Misunderstoods” There are two level of service categories that we lump into a bucket called “The Misunderstoods” of ambulance billing. Those billing levels are the Advanced Life Support, Level 2 (ALS 2) and the Specialty Care Transport (SCT). There remains a cloud of uncertainty in […]
ICD-10 Behind the Scenes The stuff you don’t see… In previous blog posts we talked a lot about the new ICD-10 diagnosis code conversation set to take place on October 1st, primarily focusing on the things we see- namely documentation and the interpretation of the Patient Care Report documentation in the billing office that turns […]
Difficulty Breathing in an ICD-10 World Like a Brick We took the time to actually pick up and carry the “ICD-10 Book” the other day. This thing is like a brick. The book could anchor a small boat! ICD-10 is the new version of the International Classification of Diseases. This is a system of codes […]
More Medicare Claim Processing Insight- Transporting ESRD Patients for Dialysis Second Week in a Row… Last week we filled this space with information from the Medicare Administrative Contractor (MAC) handling Part B claims in Ohio and Kentucky regarding their Comprehensive Error Rate Testing (CERT) findings. We provided you with a view of how the CERT […]
The Next Big Change- ICD-10 Sit up and take notice! Sit up and take notice! This one’s all you. The content of this blog space is about a new coding initiative. So right now we’ll bet your thinking… “Awesome! Enhanced has this thing under control. Good for them.” Because coding is a billing company thing. […]
