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 […]
After the Disaster- What to Do Next? Florence Mayhem Like us, we’re sure you watched in horror as Hurricane Florence smashed into the east coast of the United States dumping trillions of gallons of water on North and South Carolina and Virginia. For days, the heavens opened into a waterfall of torrential rains and flooding […]
CMS Opens Wider Window with Templates Open Door = Open Window Just a few weeks ago, the Centers for Medicare and Medicaid Services (CMS) opened a wider window for those of us in the ambulance industry to take a look at the future direction for supporting documentation expectations. Part of the Patients Over Paperwork Project, […]
Medicare Prior Authorization- Results 3 Years Later History In December 2014, the Centers for Medicare and Medicaid Services (CMS) implemented a Medicare Prior Authorization program on a three-year trial for RSNAT- repetitive, Scheduled, non-emergency ambulance transports. The program targeted three States that statistically showed a sharp increase in these types of transports at an alarming […]
Other Methods of Transportation are Contraindicated Medical Necessity Defined We talk a lot about Medical Necessity in the ambulance billing office. Medical necessity and Reasonableness are key in determining whether or not an insurance payer is obligated to pay for ambulance transport, especially for Medicare and Medicaid patients. Title XVIII of the Social Security Act […]
Other Methods of Transportation are Contraindicated Medical Necessity Defined We talk a lot about Medical Necessity in the ambulance billing office. Medical necessity and Reasonableness are key in determining whether or not an insurance payer is obligated to pay for ambulance transport, especially for Medicare and Medicaid patients. Title XVIII of the Social Security Act […]
Repetitive Transport Documentation- Consistency is Important The Same Patient Repeat patients often suffer from chronic illnesses that persist during a period of their life span. Some patients never escape from their condition and others, thankfully improve to the point that they no longer require ambulance transportation. Because we interact with these patients, day in and […]
3 Reasons the Billing Office Can’t Bill Your EMS Incident Blogger’s Note… From time to time we pick out some of our most informative and memorable blog posts from the past and breathe new life into them. This is one of those posts. The information comes from a poll we conducted in our billing office […]
Why is S. 967 So Important to the Ambulance Industry? Part IV S.967- Part IV Today we land Part IV of our blog posts dedicated to helping us all understand the importance of Senate Bill 967 entitled the “Medicare Ambulance Access, Fraud Prevention and Reform Act of 2017.” In that opening post, we explained that […]
Why is S. 967 So Important to the Ambulance Industry? Part II S.967- Part II Last week, we opened this space with the first of four blog posts dedicated to helping us all understand the importance of Senate Bill 967 entitled the “Medicare Ambulance Access, Fraud Prevention and Reform Act of 2017.” In that opening […]
