To Bill or Not to Bill? Navigating Ground Ambulance Balance Billing State-by-State By Chuck Humphrey, B.A., EMT-B, CADS* Take a Peek! This blog space is brought to you by the fine folks at Quick Med Claims (QMC). QMC is a national leader in EMS revenue cycle management (RCM). As a QMC retiree, I’ve graciously been […]
Federal No Surprises Act (NSA): What to Look Forward to in 2023? PART I By Ed Marasco, MPM, CMTE, EMT-P (ret.) * The No Surprises Act (NSA) was passed late in 2020 and the regulatory process unfolded in a frenzy throughout 2021. There has been quite a bit of additional guidance issued in 2022; […]
Beware of the Compliance Warning Signs! Big Bucks! It has always been important for any ambulance billing program to follow the narrow road of compliance. But now more than ever and with big bucks on the line, it’s important that every EMS administrator heed the compliance warning signs. The headlines tell of those who either […]
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 […]
Understanding Ground Ambulance Charges- Part II Last week… Welcome back to Part II of our series “Understanding Ground Ambulance Charges! Last week we covered the basics. We defined the term charges and what it means and how it applies to the ground ambulance billing world. This week we focus on how charges are determined and […]
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 […]
Compliance Isn’t Easy Being Deliberate If your EMS agency is going to strive to be 100% compliant with all of the rules and regulations that we all have to navigate in the EMS billing arena, then it means that your organizational culture must be deliberate. Compliance isn’t easy. The problem with what we have just […]
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 […]
Compliance by Accident…is an Accident Waiting to Happen! Out of Sight…Out of Mind How many of you reading this blog, right now, have a compliance plan located somewhere in your office or somewhere in the station? You know what I mean, that big binder book with a lot of paper, plenty of words that seemingly […]
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 […]
