What Service Is Not Available

What Service is Not Available?

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 […]

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New-Locality-Rule-New-Problem-Blog-06-23-2017

New “Locality Rule”, New Problem

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 […]

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What-Service-is-Not-Available-Blog-02-24-2017

What Service is Not Available?

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 […]

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Facilities-and-Payment-Medicare-Rules-Blog-02-10-2017

Facilities and Payment- Medicare Rules

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 […]

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Origins-and-Destinations-Blog-05-13-2016

Origins and Destinations

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 […]

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In-The-Crosshairs-Blog-06-13-2104

More Medicare Claim Processing Insight- Transporting ESRD Patients for Dialysis

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 […]

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