It’s Finally Here! It seems like forever ago… It seems like forever ago we began talking about this thing called ICD-10. Delay after delay, extension after extension and here we are. Thursday is the day the American healthcare industry has long been anticipating. ICD-10 is finally here! Boil it all down Boil it all down, […]
Closest Appropriate? Explaining Destinations in the PCR Closest Appropriate Facility In the ambulance billing world, this 3-word phrase is discussed more than you’d realize- Closest Appropriate Facility. There are rules that differ in many cases between insurance payers, most notably between Medicare and Medicaid and even some commercial insurance payers regarding payment for transport miles […]
On Drop Downs and Written Narratives- Connecting the Data in our PCRs “Paint a Picture” We read a lot of communication that point to expectations. The Centers for Medicare and Medicaid Services (CMS), State agencies and even Commercial Insurance payers bombard our billing office with all kind of communication about what they expect to be […]
H.R. 2 and You Last Week Last week Congress passed the “Medicare Access and CHIP Reauthorization Act of 2015.” The Bill, H.R. 2, contained an important provision for the ambulance industry and it passed on the brink of allowing the Medicare ground ambulance bonus payments to expire. The extension effected by H.R. 2 allows them to […]
The Importance of Building and Maintaining Relationships Beyond EMS More and More… More and more we in EMS are being called upon to interact and develop relationships that go beyond our brothers and sisters in the Fire/EMS arena. It doesn’t matter what level of the organizational chart you serve, we all have a duty to […]
What do I need to do? The Big Question As we talk with people in the industry, administrators and street providers alike, we field this question the most. “What do I need to write/not write in my Patient Care Report?” The companion discussion always centers on… “Can you provide me a “list” of things we […]
Shorter Timelines = Greater Dollar$ The time between… Rising costs and stale reimbursement is causing everyone in the EMS industry to take a long hard look at the bottom line. Today we’ll be focusing on three key parts of the billing timeline. Do you know what the time is that lapses between the incident and […]
The Changing Regulatory EMS Billing Landscape The Landscape Has Changed If you read this space on a regular basis, you know that we frequently discuss the changing regulatory landscape. With Medicare and Medicaid comprising well more than half of all the dollars that flow into many EMS agencies, it’s important that we all understand the […]
Difficulty Breathing in an ICD-10 World Like a Brick We took the time to actually pick up and carry the “ICD-10 Book” the other day. This thing is like a brick. The book could anchor a small boat! ICD-10 is the new version of the International Classification of Diseases. This is a system of codes […]
When Compassion and Compliance Collide New initiatives By now many of you, especially those of you who provide scheduled, routine, non-emergency transports (ie. Dialysis, radiation, etc.) are becoming aware of a new Medicare trial initiative for pre-authorizing approval for claims submitted for these types of transports. The Centers for Medicare and Medicaid Services (CMS) chose […]
