OIG Reports on Overpayments Sparks Discussion This Month The Office of the Inspector General made public the report “Medicare Improperly Paid Providers for Non-Emergency Ambulance Transports to Destinations Not Covered by Medicare” (View the report) this month. The OIG took a look at non-emergency ambulance transport claims paid by Medicare between 2014 and 2016. This time the […]
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 […]
Medicare Revalidation – What is it and Why do we do it? “Why do we have to do this?” Five years ago Medicare suppliers and providers received the wonderful gift called Medicare Revalidation. Since that time, our billing office has been asked the same question over and over. “Why do we have to do this?” […]
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 […]
Documenting Emergent Scenarios Post October 1 Focus If you’re a regular reader of this space you are aware that we focus A LOT on medical necessity, especially as the definitions contained in the rules pertain to Medicare. With anywhere from 40% to 60% or upward of the average ambulance reimbursements being derived from Medicare Fee-for-Service […]
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 […]
Sign on the Dotted Line, Please! Version 2.1 Hits the Streets This week our good friends at the premiere EMS law firm in the United States, Page, Wolfberg and Wirth, released the latest version of the patient signature and authorization form which has fast become the compliance standard in the ambulance industry. Once again, PWW […]
