What Service is Not Available? Inter-Facility Transfers This week’s blog will focus on inter-facility transports. For the most part, we’ll discuss hospital-to-hospital transfers where the patient has been treated at one hospital but must move to a different hospital in most cases for care that is not provided at the facility where they currently are […]
New “Locality Rule”, New Problem Let’s Review If you’ve followed this space or have been connected to the EMS billing world for a fair amount of time, you should recognize the impact of the phrases “nearest hospital” and “closest appropriate facility.” Center for Medicare and Medicaid Services (CMS) rules for Medicare clearly stipulate that Medicare […]
Freestanding Emergency Rooms and Ambulance Billing – Part II Our Thanks! Welcome to Part II of our series “Freestanding Emergency Rooms and Ambulance Billing.” Our blog posts, this week and last week, is presented thanks to timely reminders passed onto us by Doug Wolfberg of Page, Wolfberg and Wirth. Doug spent the day with our […]
Freestanding Emergency Rooms and Ambulance Billing Training Week This week was a training week for our ambulance billing office. Each year we take a full day out of our normal routine, in addition to our ongoing training regimen, to host a representative from the National Academy of Ambulance Coding for a day of immersed training […]
What Service is Not Available? Inter-Facility Transfers This week’s blog will focus on inter-facility transports. For the most part we’ll discuss hospital-to-hospital transfers where the patient has been treated at one hospital but must move to a different hospital in most cases for care that is not provided at the facility where they currently are […]
Facilities and Payment- Medicare Rules Destination Facility Our billing office often receives questions from our clients regarding facilities as an origin yet mostly a destination for transport. For the purpose of this discussion we are going to focus on the destination. A facility or institution is defined as a hospital or skilled nursing home as […]
Origins and Destinations Where am I? We were reminded when adding some new facility locations into our ambulance billing office computer system this week how confusing the types of facilities can become. Today, a single pick-up and/or drop-off location for an ambulance can serve several capacities. Literally one address, one building even, can house several […]
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 […]
