It’s Time to Pay Up! Medicare Accelerated Payment Recoupment to Begin A Whole Year! It’s hard to believe it’s been a whole year since we first were introduced to the terms COVID-19 and the word Pandemic became part of our everyday dialogue. But here we are, one-year later, and the time has come to repay […]
Medicare vs Medicaid- What’s the Difference? Interchangeable? It seems that often EMS people like to interchange the words Medicare and Medicaid. While similar in scope, the reality is these programs are two uniquely different government offerings. We thought it would be helpful to define the two programs and call attention to their similarities and differences. […]
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 […]
Railroad Medicare Cites 32.6% Error Rate for Second Quarter of FY 2017 Review Complete Yesterday, Palmetto GBA, the Medicare Administrative Contractor for the Railroad Medicare program, announced that they have completed their widespread review of BLS Non-Emergency ambulance service claims from January through March of 2017. This comprises their announced review for the Second Quarter […]
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 […]
Introducing the “Z” Codes Fast Approaching! ICD-10 is fast approaching! Come October 1st the healthcare industry begins to use the new diagnosis coding regimen and with that transition the ambulance billing industry will face a new set of rules and billing guidelines to follow including the “Z” codes. Reasons for Encounters… The “Z” codes denote […]
One Last Look at Ambulance Billing in 2014- What’s Next? You Deserve a Break! We’re going to make this our last blog post for 2014. You deserve a break! But before we sign-off to celebrate the season, we thought we’d take a moment to reflect on the year that’s been just one last time. Let’s […]
The End to Medicare “Back Billing” Save the Date! Mark this date on your calendar- February 3, 2015. This is the date that sweeping and historic changes will take effect for the Medicare program. Late last week, the Centers for Medicare and Medicaid Services (CMS) issued the final rule on the Medicare Incentive Program and […]
Why so much personal information? Congratulations! So you say you’ve just been elected to the Board of Directors or you’ve become an Officer or both for your local EMS Agency. Congratulations! We applaud your willingness to step up to lend your wisdom and leadership capabilities to make a difference in the lives of those in […]
Understanding the Medicare Prior Authorization Demo Project Repetitive Scheduled Non –Emergent Ambulance Transports The Centers for Medicare and Medicaid Services (CMS) just announced that they will pilot a demonstration project to pre-authorize Repetitive Scheduled Non-Emergent Transports. Repetitive Scheduled Non-Emergent Transports are defined when the same patient is transported three or more times over a ten-day […]
