Transported For Higher Level Of Care

Transported for HIGHER Level of Care

Transported for HIGHER Level of Care By Katie Harrison and Chuck Humphrey, QMC Compliance Team If we had a dollar… Here in our QMC billing office, if we had a dollar for every time we have opened a patient care report (PCR) to read the documentation of an ambulance transport from one facility to another […]

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Anatomy Of The Medicare Appeals Process

Medicare Appeals

Medicare Appeals By Kellie Mattos, C.A.C. How to be a WINNER with Medicare appeals. Medicare appeals can be time-consuming and tedious with, frequently, no positive outcome for your effort. Today I am going to talk about the importance of appeals and how to win them! Anatomy of an Appeal- Time Consuming and Tedious When a […]

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Hurricane Dorian Prompts CMS Emergency Efforts

Hurricane Dorian Prompts CMS Emergency Efforts

Hurricane Dorian Prompts CMS Emergency Efforts Breaking News Literally, as we contribute to this blog space, our fellow Americans in the Southeast and Mid-Atlantic States are experiencing the dramatic effects of the monster Hurricane Dorian. The Centers for Medicare and Medicaid Services has just issued Medicare Learning Network (MLN) Special Editions (SEs) 19017 (Puerto Rico), […]

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Medicare Changes Proposed

Medicare Changes Proposed

Medicare Changes Proposed Last Week Big news hit the ambulance industry’s electronic inboxes last week, when the Centers for Medicare and Medicaid Services (CMS) released the calendar year 2020 Proposed Rule with revisions to Payment Policies under the Physician Fee Schedule including Other Changes to Part B Payment Policies. Two ambulance industry changes were embedded […]

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Documenting Cardiac Arrests For Billing

Documenting Cardiac Arrests for Billing

Documenting Cardiac Arrests for Billing Challenging Scenarios We’re sure that you’ll agree with us that patient cardiac arrests present the most challenging of scenarios EMS providers encounter in the field. Documenting arrest scenarios also presents challenges following the run. Once we have had time to step back and think about the event, that’s when we […]

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Influenza The Ambulance Documentation

Influenza. The Ambulance. Documentation.

Influenza. The Ambulance. Documentation. An Annual Topic It’s flu season once again. Given that this blog originates from a desk located in the northeastern United States, we can tell you that the flu has hit here with a vengeance. H1N1 is back to visit and was predominantly prevalent across the United States with influenza A […]

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